Organization
EASTWAY WELLNESS LLC
Active
Parent organization
EASTWAY WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTWAY WELLNESS LLC
Authorized official
YI LUO LAC (MANAGER)
(781) 688-0138
Entity
Organization
Contact information
Practice address
11 VANDERBILT AVE, NORWOOD, MA 02062-5056
(781) 688-0138
(781) 269-5613
Mailing address
11 VANDERBILT AVE, 210, NORWOOD, MA 02062-5056
(781) 688-0138
(781) 269-5613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22813
PHYSICAL THERAPY
MA
Enumeration date
10/06/2017
Last updated
03/17/2018
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