Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA ENID RODRIGUEZ PTA (PRESIDENT)
(781) 916-8825
Entity
Organization
Contact information
Practice address
40 CRESCENT ST STE 104, WALTHAM, MA 02453-4313
(781) 916-8825
(781) 701-3570
Mailing address
40 CRESCENT ST STE 104, WALTHAM, MA 02453-4313
(781) 916-8825
(781) 701-3570
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
02/09/2025
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