South Shore Sports & Muscular
NPI #1104822576 in East Weymouth, Massachusetts
Provider Information
- NPI Number
- 1104822576
- Entity Type
- Organization
- Organization Name
- South Shore Sports & Muscular
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Dec 19, 2011
Practice Location
- Address
- 90 LIBBEY INDUSTRIAL PKWY
- Address 2
- STE 103
- City
- East Weymouth
- State
- Massachusetts
- ZIP Code
- 02189-3129
- Phone
- (781) 331-9600
Authorized Official
- Name
- MR. STEPHEN LALLY NEWCOMB
- Title
- GENERAL MANAGER
- Phone
- (781) 331-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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