Back On Track, P.c.
NPI #1376593368 in Brookline, Massachusetts
Provider Information
- NPI Number
- 1376593368
- Entity Type
- Organization
- Organization Name
- Back On Track, P.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 11, 2006
- Last Updated
- Apr 20, 2012
Practice Location
- Address
- 1180 BEACON ST
- Address 2
- SUITE 6-C
- City
- Brookline
- State
- Massachusetts
- ZIP Code
- 02446-3838
- Phone
- (617) 730-5337
Authorized Official
- Name
- MR. HENRY SISUN, PT
- Title
- PRESIDENT/OWNER
- Phone
- (617) 730-5337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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