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Organization
MASSACHUSETTS PHYSICAL THERAPY SERVICES OF QUINCY BAY, LLC
Active
Organization
MASSACHUSETTS PHYSICAL THERAPY SERVICES OF QUINCY BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
99 BRACKETT ST, QUINCY, MA 02169-4647
(617) 934-1079
(617) 934-1132
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/03/2023
Last updated
04/13/2023
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