| NPI | 1114272515 |
|---|---|
| Doing Business As | OUTBACK PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | THOMAS JACOB JOTKOWITZ President 617-718-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-05-29 |