Organization
SPORTS THERAPY & REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS JENSEN PT (BUSINESS OWNER)
(978) 741-0880
Entity
Organization
Contact information
Practice address
84 HIGHLAND AVE, SUITE 201, SALEM, MA 01970-2727
(978) 741-0880
Mailing address
84 HIGHLAND AVE, SALEM, MA 01970-2727
(978) 741-0880
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368989
—
MA
01
—
AA68907
HARVARD PILGRIM
MA
01
—
Y61051
BLUE CROSS / BLUE SHIELD
MA
Enumeration date
03/07/2007
Last updated
11/05/2008
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