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Organization
UNION SQUARE PHYSICAL THERAPY LLC.
Active
Organization
UNION SQUARE PHYSICAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAEGEN BRADY DELEO (OWNER)
(860) 899-9652
Entity
Organization
Contact information
Practice address
440 SOMERVILLE AVE, SOMERVILLE, MA 02143-3257
(860) 899-9652
Mailing address
71 WICKLOW AVE, MEDFORD, MA 02155-2825
(860) 899-9652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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