Elm Park Physical Therapy LLC

NPI #1144513144 in Worcester, Massachusetts

Provider Information

NPI Number: 1144513144
Entity Type: Organization
Organization Name: Elm Park Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2011
Last Updated: May 24, 2011

Practice Location

Address: 111 ELM ST
Address 2: SUITE 103
City: Worcester
State: Massachusetts
ZIP Code: 01609-1967
Phone: (508) 799-6538

Authorized Official

Name: MR. MICHAEL BUSLOV, PTA
Title: OWNER
Phone: (508) 799-6538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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