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Organization
PONDVILLE PHYSICAL THERAPY
Active
Organization
PONDVILLE PHYSICAL THERAPY
Active
Parent organization
PONDVILLE MEDICAL ASSOCIATES, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONDVILLE MEDICAL ASSOCIATES, LLC.
Authorized official
JOHN D. REILLY P.T. (PHYSICAL THERAPIST)
(781) 706-7574
Entity
Organization
Contact information
Practice address
31 PINE ST, SUITE 102, NORFOLK, MA 02056-1642
(508) 623-3700
Mailing address
31 PINE ST, SUITE 102, NORFOLK, MA 02056-1642
(508) 623-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6041
MA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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