Organization
SHALOM PHYSICAL THERAPY EVERETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA LOPEZ (MANAGER/MEMBER)
(857) 222-6510
Entity
Organization
Contact information
Practice address
563 BROADWAY, EVERETT, MA 02149-3749
(857) 222-6510
Mailing address
563 BROADWAY, EVERETT, MA 02149-3749
(857) 222-6510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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