Individual
JULIE AGBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-7848
Mailing address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21065
MA
225100000X
Physical Therapist
21995
MD
225100000X
Physical Therapist
PT870739
DC
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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