Organization
REVERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON EDWARD DUFFY PT, DPT, OCS (MANAGING MEMBER)
(774) 392-0612
Entity
Organization
Contact information
Practice address
634 N FALMOUTH HWY UNIT 10, NORTH FALMOUTH, MA 02556
(508) 356-3952
(508) 437-2597
Mailing address
111 TWO PONDS RD, FALMOUTH, MA 02540-2221
(508) 356-3952
(508) 437-2597
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
12/10/2018
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