Organization
ECLECTIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN L. RUBINSTEIN M.P.T., M.R. (OWNER)
(508) 246-4233
Entity
Organization
Contact information
Practice address
320 WASHINGTON ST, NORWELL, MA 02061-1700
(508) 246-4233
Mailing address
4 KING ARTHURS WAY, BOURNE, MA 02532-2376
(508) 246-4233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AH 9431-PT
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019557
MEDICARE PTAN
MA
Enumeration date
07/28/2009
Last updated
09/11/2018
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