Organization
BOSTON SPINE AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GAGNE DC (OWNER)
(774) 201-9878
Entity
Organization
Contact information
Practice address
665 BOYLSTON ST STE 3, BOSTON, MA 02116-4825
(774) 201-9878
Mailing address
14 CLARENDON ST APT 402, BOSTON, MA 02116-6145
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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