| NPI | 1124648092 |
|---|---|
| Doing Business As | PHYSIO NORTHWEST |
| Other Name | PHYSIO NW |
| Entity Type | Organization |
| Authorized Contact | ASHLEY STANLEY Owner 617-935-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-01-26 |