Organization
PHYSICAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EGAN BS,MBA (MANAGER)
(508) 428-0300
Entity
Organization
Contact information
Practice address
719 MAIN ST, OSTERVILLE, MA 02655-1903
(508) 428-0300
Mailing address
PO BOX 604, OSTERVILLE, MA 02655-0604
(508) 428-0300
(508) 428-1211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9799931
—
MA
01
—
Y61076
BCBS
MA
Enumeration date
07/12/2005
Last updated
11/24/2010
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