Organization
BROADWAY PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GAROFALO PTA (OWNER DIRECTOR)
(617) 593-3176
Entity
Organization
Contact information
Practice address
185 SQUIRE RD, REVERE, MA 02151-1234
(781) 284-0559
(781) 284-0698
Mailing address
185 SQUIRE RD, REVERE, MA 02151-1234
(781) 284-0559
(781) 284-0698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/03/2006
Last updated
06/19/2009
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