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1790458024
CHRISTIAN THOMAS WIRTH
BOSTON, MA
NPI
1790458024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: MA 25568)
Enumeration Date
2021-08-02
Last Update Date
2022-01-11
Business Address
CHRISTIAN THOMAS WIRTH DPT
800 BOYLSTON ST
BOSTON, MA 02199-1900
Phone number: 617-536-1161
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Mailing Address
CHRISTIAN THOMAS WIRTH DPT
43 WESTLAND AVE UNIT 201
BOSTON, MA 02115-4563
Phone number: 908-892-1103
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