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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