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Organization

BABY TO BOOMER THERAPIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FAY M BURGESS BACKERT OTR/L (OWNER)
(347) 307-0249
Entity
Organization

Contact information

Practice address
20 NORTH RD, BEDFORD, MA 01730-1057
(347) 307-0249
Mailing address
1661 MASSACHUSETTS AVE, UNITE 237, LEXINGTON, MA 02420-2020
(347) 307-0249

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9620
MA

Other

Enumeration date
02/19/2015
Last updated
02/19/2015
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