Organization
WOBURN PHYSICAL THERAPY, INC
Active
Other names
Physical Therapy of Woburn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRE XINTAROPOULOS PTA (OWNER/PRESIDENT)
(781) 727-8897
Entity
Organization
Contact information
Practice address
400 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-7232
(781) 938-1223
(781) 938-1226
Mailing address
400 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-7232
(781) 938-1223
(781) 938-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193213
BMC
MA
01
—
002697430
UNITED
MA
01
—
0040567
ALLWAYS
MA
01
—
AA70524
HARVARD PILGRIM
MA
01
—
V35856
TUFTS
MA
01
—
Y61478
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/14/2006
Last updated
05/17/2021
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