Organization
BOSTON PAIN & REHAB CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG YOON PT.,DPT (OWNER)
(617) 630-9900
Entity
Organization
Contact information
Practice address
524 HARVARD ST, BROOKLINE, MA 02446-2463
(617) 630-9900
(617) 731-1001
Mailing address
524 HARVARD ST, BROOKLINE, MA 02446-2463
(617) 630-9900
(617) 731-1001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0936
BCBS
DC
Enumeration date
10/26/2009
Last updated
06/16/2010
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