Boston Regional Physical Therapy

NPI #1033342316 in Mattapan, Massachusetts

Provider Information

NPI Number: 1033342316
Entity Type: Organization
Organization Name: Boston Regional Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Sep 2, 2009
Last Updated: Sep 2, 2009

Practice Location

Address: 1659 BLUE HILL AVE
Address 2: 2ND FLOOR
City: Mattapan
State: Massachusetts
ZIP Code: 02126-2107
Phone: (617) 296-9600

Authorized Official

Name: THOMAS FIESE, PT
Title: OWNER/PT
Phone: (617) 296-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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