Organization
ADVANCED SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PENNEY (PRESIDENT)
(781) 235-5275
Entity
Organization
Contact information
Practice address
62 WALNUT ST, WELLESLEY, MA 02481-2113
(781) 235-5275
(781) 235-5276
Mailing address
62 WALNUT ST, WELLESLEY, MA 02481-2113
(781) 235-5275
(781) 235-5276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
12/05/2016
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