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Organization
TB12 LLC
Active
Organization
TB12 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO GUERRERO (OPERATING MANAGER)
(508) 543-4900
Entity
Organization
Contact information
Practice address
240 PATRIOT PL, FOXBOROUGH, MA 02035-5100
(508) 543-4900
Mailing address
240 PATRIOT PL, FOXBOROUGH, MA 02035-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18781
MA
2255A2300X
Athletic Trainer
1795
MA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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