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Organization
NORTH SOUTH PHYSICAL THERAPY, INC.
Active
Organization
NORTH SOUTH PHYSICAL THERAPY, INC.
Active
Other names
douglas square physical therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP J. GAROFALO P.T.A. (OWNER/CEO)
(617) 593-3176
Entity
Organization
Contact information
Practice address
1200 WASHINGTON ST, BOSTON, MA 02118-2131
(617) 778-5540
Mailing address
1200 WASHINGTON ST, BOSTON, MA 02118-2131
(617) 778-5540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029723
NEIGHBORHOOD HEALTH
MA
01
—
7380356
AETNA
MA
01
—
AA9360
HARVARD PILGRIM
MA
01
—
Y61200
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/03/2006
Last updated
09/28/2015
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