Organization
MYOFASCIAL PAIN TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA BOURNE R.N. (OWNER)
(781) 894-9430
Entity
Organization
Contact information
Practice address
203 ARLINGTON ST, SUITE 1, WATERTOWN, MA 02472-2090
(781) 894-9430
Mailing address
203 ARLINGTON ST, SUITE 1, WATERTOWN, MA 02472-2090
(781) 894-9430
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
RN234770
MA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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