Organization
KANE SQUARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA C. CORREIA (OWNER)
(617) 825-7300
Entity
Organization
Contact information
Practice address
427 BOWDOIN ST, DORCHESTER, MA 02122-1827
(617) 825-7300
(617) 825-7399
Mailing address
PO BOX 256110, BOSTON, MA 02125-6110
(617) 825-7300
(617) 825-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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