Organization
PROACTFIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICOLENE K BODDIE PT, ATC, CSCS (OWNER / PHYSICAL THERAPIST)
(781) 413-6103
Entity
Organization
Contact information
Practice address
892 PLAIN ST, SUITE 2, MARSHFIELD, MA 02050-2191
(781) 413-6103
Mailing address
892 PLAIN ST, SUITE 2, MARSHFIELD, MA 02050-2191
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18223
MA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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