Organization
ACTIVE MOTION PHYSICAL THERAPY
Active
Other names
Aquatic Myofascial Physical Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J ALLARDI PT (PRESIDENT)
(781) 245-0055
Entity
Organization
Contact information
Practice address
414 MAIN ST, WAKEFIELD, MA 01880-3018
(781) 245-0055
Mailing address
414 MAIN ST, WAKEFIELD, MA 01880-3018
(781) 245-0055
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6151
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363529
—
MA
01
—
307618
HARVARD PILGRIM
MA
01
—
820711
TUFTS
MA
01
—
Y61463
BCBS
MA
Enumeration date
03/14/2007
Last updated
03/08/2009
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