Organization
OUTBACK PHYSICAL THERAPY, INC.
Active
Other names
Outback Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JACOB JOTKOWITZ PT (PRESIDENT)
(617) 718-9300
Entity
Organization
Contact information
Practice address
149A HIGHLAND AVE, SOMERVILLE, MA 02143-1650
(617) 708-9300
(617) 718-9303
Mailing address
149A HIGHLAND AVE, SOMERVILLE, MA 02143-1650
(617) 718-9300
(617) 718-9303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
05/29/2013
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