Organization
BREMEN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN DAVID SANQUINTIN (OWNER)
(617) 602-3248
Entity
Organization
Contact information
Practice address
179 WASHINGTON AVE UNIT A, CHELSEA, MA 02150-4235
(617) 446-0832
(617) 466-1400
Mailing address
464 BREMEN ST STE 4B, EAST BOSTON, MA 02128-1430
(617) 418-5488
(617) 874-8560
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
268756
MA
Other
Enumeration date
07/28/2017
Last updated
09/14/2022
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