Organization
PREMIER PERFORMANCE PHYSICAL THERAPY AND SPORTS MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN JAY WU DPT, PT (CEO)
(978) 500-3003
Entity
Organization
Contact information
Practice address
431 TRAPELO RD UNIT 2, BELMONT, MA 02478-1417
(617) 932-1027
(317) 932-1476
Mailing address
431 TRAPELO RD, BELMONT, MA 02478-1417
(617) 932-1027
(617) 932-1476
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20432
MA
Other
Enumeration date
05/11/2017
Last updated
11/30/2017
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