Organization
PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC
Active
Other names
Liberty Mutual Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
157 BERKELEY ST, BOSTON, MA 02116-5108
(857) 224-9355
(857) 224-8373
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
08/15/2022
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