Organization
PGREILLY INC
Active
Other names
ActiveRX Westborough
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G REILLY (OWNER/OPERATOR)
(508) 329-1163
Entity
Organization
Contact information
Practice address
24 LYMAN ST, SUITE 140, WESTBOROUGH, MA 01581-1484
(508) 329-1163
(508) 986-7026
Mailing address
24 LYMAN ST, SUITE 140, WESTBOROUGH, MA 01581-1484
(508) 329-1163
(508) 986-7026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033180
MEDICARE PTAN
MA
Enumeration date
06/11/2013
Last updated
09/10/2013
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