Revitalife Pt LLC
NPI #1225868680 in Mendon, Massachusetts
Provider Information
- NPI Number
- 1225868680
- Entity Type
- Organization
- Organization Name
- Revitalife Pt LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 1, 2024
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 3 POND ST
- City
- Mendon
- State
- Massachusetts
- ZIP Code
- 01756-4500
- Phone
- (774) 293-8674
Authorized Official
- Name
- MITALI MOHANAN
- Title
- PT
- Phone
- (774) 293-8674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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