Organization
TEAMWORK PHYSICAL THERAPY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT E AUDETTE (CHIEF OPERATING OFFICER)
(617) 847-0066
Entity
Organization
Contact information
Practice address
909 SUMNER ST, STOUGHTON, MA 02072-3396
(781) 341-1258
(781) 341-9047
Mailing address
618 WASHINGTON ST, QUINCY, MA 02169-7335
(617) 847-0066
(617) 847-0908
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5691690005
DME SUPPLIER #
MA
Enumeration date
04/11/2007
Last updated
08/22/2020
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