Organization
FAST TRACK PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J. KLAYS (OWNER)
(978) 459-4445
Entity
Organization
Contact information
Practice address
1126 MIDDLESEX ST, SUITE 3, LOWELL, MA 01851-1352
(978) 459-4445
(978) 459-7555
Mailing address
1126 MIDDLESEX ST, SUITE 3, LOWELL, MA 01851-1352
(978) 459-4445
(978) 459-7555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16296
MA
225100000X
Physical Therapist
5232
MA
225200000X
Physical Therapy Assistant
7655
MA
225200000X
Physical Therapy Assistant
8176
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9736280
MASSHEALTH
MA
Enumeration date
10/24/2006
Last updated
08/14/2009
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