| NPI | 1700040128 |
|---|---|
| Doing Business As | BACKSTAGE PT |
| Entity Type | Organization |
| Authorized Contact | PETER L BREEN President 617-254-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2009-04-27 |