Organization
KANE SQUARE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA C CORREIA (OWNER)
(617) 233-1583
Entity
Organization
Contact information
Practice address
427 BOWDOIN STREET, DORCHESTER, MA 02122
(617) 825-7300
Mailing address
P. O. BOX 256110, DORCHESTER, MA 02125
(617) 825-7300
(617) 825-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
481
MA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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