Organization
PRO PHYSICAL THERAPY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DESJARDIN (PRESIDENT)
(617) 567-8008
Entity
Organization
Contact information
Practice address
61 BOARDMAN ST, EAST BOSTON, MA 02128-2601
(617) 567-8008
(617) 567-8008
Mailing address
61 BOARDMAN ST, EAST BOSTON, MA 02128-2601
(617) 567-8008
(617) 567-8008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
757
MA
261QP2000X
Physical Therapy Clinic/Center
Primary
757
MA
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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