NPI | 1437418340 |
---|---|
Doing Business As | FYZICAL - BROCKTON |
Entity Type | Organization |
Authorized Contact | JAMES VAN LAM President 781-666-4444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 670) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2017-02-22 |