Organization
SPORTS GROUP PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES HAGAN D.C. (DIRECTOR)
(617) 492-5438
Entity
Organization
Contact information
Practice address
1718 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1804
(617) 492-5438
(617) 868-4611
Mailing address
1718 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1804
(617) 492-5438
(617) 868-4611
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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