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Organization

BEANTOWN PHYSIO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL M GHOSTLAW PT (PRESIDENT/ PHYSICAL THERPIST)
(617) 232-7246
Entity
Organization

Contact information

Practice address
33 POND AVE, SUITE 107B, BROOKLINE, MA 02445-7163
(617) 232-7246
(617) 232-5196
Mailing address
33 POND AVE, SUITE 107B, BROOKLINE, MA 02445-7163
(617) 232-7246
(617) 232-5196

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16266
MA
225100000X
Physical Therapist
8336
MA

Other

Enumeration date
09/06/2005
Last updated
10/18/2011
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