Outback Physical Therapy, Inc.
NPI #1114272515 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1114272515
- Entity Type
- Organization
- Organization Name
- Outback Physical Therapy, Inc.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 23, 2012
- Last Updated
- May 29, 2013
Practice Location
- Address
- 149A HIGHLAND AVE
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02143-1650
- Phone
- (617) 708-9300
Authorized Official
- Name
- THOMAS JACOB JOTKOWITZ, PT
- Title
- PRESIDENT
- Phone
- (617) 718-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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