Organization
ATHLETIC EVOLUTION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE ROUSSELLE (DIRECTOR)
(781) 935-7701
Entity
Organization
Contact information
Practice address
78C OLYMPIA AVE, WOBURN, MA 01801-2057
(781) 935-7701
Mailing address
78C OLYMPIA AVE, WOBURN, MA 01801-2057
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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