Organization
EGLESTON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE JACOB BOBADILLA (PRESIDENT)
(617) 427-8008
Entity
Organization
Contact information
Practice address
1951 COLUMBUS AVE, ROXBURY, MA 02119-1048
(617) 427-8008
(617) 427-8083
Mailing address
1951 COLUMBUS AVE, ROXBURY, MA 02119
(617) 427-8008
(617) 427-8083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
232
MA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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