NPI | 1710241088 |
---|---|
Former Legal Business Name | PROBODY PHYSICAL THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | PAOLA JAAR D PT/Owner 617-331-3163 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 16357) |
Enumeration Date | 2012-07-01 |
Last Update Date | 2012-11-21 |