Organization
PT FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CROCKER DPT (OWNER/PHYSICAL THERAPIST)
(617) 939-6794
Entity
Organization
Contact information
Practice address
33 UNION ST, MANCHESTER, MA 01944-1555
(617) 939-6794
Mailing address
13 NORWOOD AVE, MANCHESTER, MA 01944-1507
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
15884
MA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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