Organization
MULLIS AND ASSOCIATES PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E MULLIS PT, DPT (PRESIDENT/OWNER)
(617) 519-6443
Entity
Organization
Contact information
Practice address
811 MASSACHUSETTS AVE, SUITE 100, BOSTON, MA 02118-2605
(617) 519-6443
Mailing address
9 ODONNELL SQ, 1, DORCHESTER, MA 02122-3211
(617) 519-6443
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
15359
MA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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