| NPI | 1215538665 |
|---|---|
| Doing Business As | FYZICAL BROCKTON |
| Entity Type | Organization |
| Authorized Contact | ROSEALIZA WAN ZAID Owner 617-653-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |