Organization
EXERCISE RX PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BENSON MCMANAMA III (CLINICAL COORDINATOR)
(781) 986-0990
Entity
Organization
Contact information
Practice address
15 PACELLA PARK DR, SUITE 110, RANDOLPH, MA 02368-1700
(781) 986-0990
Mailing address
15 PACELLA PARK DR, SUITE 110, RANDOLPH, MA 02368-1700
(781) 986-0990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
463
MA
Other
Enumeration date
09/25/2008
Last updated
12/20/2010
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