Organization
LIFE CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY AN GRACIE MOYER DPT (OWNER, SENIOR PHYSICAL THERAPIST)
(508) 393-0890
Entity
Organization
Contact information
Practice address
38 SW CUTOFF, B, NORTHBOROUGH, MA 01532-2159
(508) 393-0890
(774) 987-3005
Mailing address
38 SW CUTOFF, B, NORTHBOROUGH, MA 01532-2159
(508) 393-0890
(774) 987-3005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
660
MA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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