Organization
REVOLUTIONS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SPITZAK (PHYSICAL THERAPIST)
(978) 393-1655
Entity
Organization
Contact information
Practice address
158 CONCORD RD, APT H23, BILLERICA, MA 01821-4609
(978) 505-7219
Mailing address
30 SUDBURY RD STE 2, ACTON, MA 01720-5954
(978) 393-1655
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19380
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099789A
—
MA
Enumeration date
05/18/2015
Last updated
06/05/2019
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