Organization
EASTERN PHYSICAL THERAPY
Active
Other names
Eastern Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANBUNNARITH TAING (OWNER)
(978) 866-2616
Entity
Organization
Contact information
Practice address
851 MIDDLESEX ST, LOWELL, MA 01851-1419
(978) 866-2616
Mailing address
74 FORT HILL AVE, LOWELL, MA 01852-2709
(978) 866-2616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
06/11/2021
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