Organization
COMMUNITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO JOHN BALSAMO PT (PHYSICAL THERAPIST)
(508) 843-3866
Entity
Organization
Contact information
Practice address
965 WASHINGTON ST, HANOVER, MA 02339-1614
(617) 333-8408
Mailing address
965 WASHINGTON ST, HANOVER, MA 02339-1614
(617) 333-8408
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
08/08/2022
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