Organization
RESILIENT LIFE FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LANZE PT, DPT, CERT. MDT (OWNER/PHYSICAL THERAPIST)
(607) 661-3166
Entity
Organization
Contact information
Practice address
788 WILLARD ST APT N511, QUINCY, MA 02169-7474
(607) 661-3166
Mailing address
788 WILLARD ST APT N511, QUINCY, MA 02169-7474
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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