Organization
CITIZENS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO MASSE (OWNER)
(781) 922-1668
Entity
Organization
Contact information
Practice address
221 BEACH ST, REVERE, MA 02151
(781) 922-1668
Mailing address
221 BEACH ST, REVERE, MA 02151-3165
(781) 922-1668
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
MA
Enumeration date
04/23/2018
Last updated
05/17/2018
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