Organization
PHYSICAL THERAPY OF MATTAPAN SQUARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN MONROE (PRESIDENT)
(617) 784-3166
Entity
Organization
Contact information
Practice address
1596 BLUE HILL AVE, MATTAPAN, MA 02126-2121
(617) 296-6800
(617) 296-6810
Mailing address
1596 BLUE HILL AVE, MATTAPAN, MA 02126-2121
(617) 296-6800
(617) 296-6810
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/11/2016
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