Organization
HEALING SMILE PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY POBLETE DPT (PHYSICAL THERAPIST)
(339) 970-8630
Entity
Organization
Contact information
Practice address
4 MILITIA DR, LEXINGTON, MA 02421-4737
(339) 970-8630
Mailing address
15 BEACON ST, APARTMENT 2, SOMERVILLE, MA 02143-4353
(949) 395-7191
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18735
MA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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