| NPI | 1184378333 |
|---|---|
| Doing Business As | AGEILITY PHYSICAL THERAPY SOLUTIONS AT 75 STATE STREET |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E. POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |