Organization
FUNCTIONAL THERAPY AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP VYAS (PRESIDENT)
(571) 275-2043
Entity
Organization
Contact information
Practice address
123 CHESTNUT CIR, RANDOLPH, MA 02368-2957
(571) 275-2043
Mailing address
123 CHESTNUT CIR, RANDOLPH, MA 02368-2957
(571) 275-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
04/19/2018
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