Organization
FULL SPECTRUM PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CAVALLARO (OWNER/FOUNDER)
(978) 314-4538
Entity
Organization
Contact information
Practice address
17 CANNONGATE RD APT 83, TYNGSBORO, MA 01879-1413
(978) 314-4538
Mailing address
17 CANNONGATE RD APT 83, TYNGSBORO, MA 01879-1413
(978) 314-4538
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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