Organization
EMBOLDEN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA GUSTAFSON PT, DPT (OWNER/PHYSICAL THERAPIST)
(781) 710-4274
Entity
Organization
Contact information
Practice address
88 WEBSTER ST, MEDFORD, MA 02155-2656
(781) 710-4274
Mailing address
88 WEBSTER ST, MEDFORD, MA 02155-2656
(781) 710-4274
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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