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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