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Organization
DIMAYUGA THERAPY SERVICES, INC.
Active
Organization
DIMAYUGA THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR LARSEN PT, DPT (PRESIDENT)
(978) 501-0414
Entity
Organization
Contact information
Practice address
1913 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2417
(617) 963-0917
(617) 963-0917
Mailing address
1913 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2417
(617) 963-0917
(617) 963-0917
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/06/2020
Last updated
10/06/2020
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