Back On Track, P.c.
NPI #1255484168 in Brookline, Massachusetts
Provider Information
- NPI Number
- 1255484168
- Entity Type
- Organization
- Organization Name
- Back On Track, P.c.
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Dec 7, 2011
Practice Location
- Address
- 1269 BEACON ST
- Address 2
- 2ND FLOOR
- City
- Brookline
- State
- Massachusetts
- ZIP Code
- 02446-5248
- Phone
- (617) 730-5337
Authorized Official
- Name
- MR. HENRY SISUN, PT
- Title
- PRESIDENT OWNER
- Phone
- (617) 730-5337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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