Organization
NORTH SOUTH PHYSICAL THERAPY
Active
Organization
NORTH SOUTH PHYSICAL THERAPY
Active
Other names
Washington Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHILIP JOSEPH GAROFALO PTA (OWNER/DIRECTOR)
(617) 327-9097
Entity
Organization
Contact information
Practice address
4593 WASHINGTON ST, ROSLINDALE, MA 02131-4844
(617) 327-9097
(617) 327-4307
Mailing address
4593 WASHINGTON ST, ROSLINDALE, MA 02131-4844
(617) 327-9097
(617) 327-4307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
122
MA
2251X0800X
Orthopedic Physical Therapist
Primary
122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029723
NEIGHBORHOOD HEALTH
MA
01
—
7380356
AETNA
MA
05
—
9786082
—
MA
01
—
AA9360
HARVARD PILGRIM HEALTH INSURANCE
MA
01
—
Y61200
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/23/2009
Last updated
06/23/2009
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