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Organization
MOUNT AUBURN PHYSICAL THERAPY ASSOCIATES, PC
Active
Organization
MOUNT AUBURN PHYSICAL THERAPY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M LATTANZI PT (PRESIDENT/OWNER)
(617) 923-0757
Entity
Organization
Contact information
Practice address
521 MOUNT AUBURN ST, SUITE 205, WATERTOWN, MA 02472-4191
(617) 923-0757
(617) 923-2127
Mailing address
521 MOUNT AUBURN ST, SUITE 205, WATERTOWN, MA 02472-4191
(617) 923-0757
(617) 923-2127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y61017
BC/BS
MA
Enumeration date
10/14/2006
Last updated
08/22/2020
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