Individual
BENJAMIN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
540 GALLIVAN BLVD FL 2ND, DORCHESTER, MA 02124-5400
(617) 282-8080
(617) 282-9988
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22442
MA
Other
Enumeration date
08/03/2016
Last updated
06/24/2020
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