Broadway Physical Therapy, Inc.
NPI #1396813689 in Revere, Massachusetts
Provider Information
- NPI Number
- 1396813689
- Entity Type
- Organization
- Organization Name
- Broadway Physical Therapy, Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 3, 2006
- Last Updated
- Jun 19, 2009
Practice Location
- Address
- 185 SQUIRE RD
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-1234
- Phone
- (781) 284-0559
Authorized Official
- Name
- MR. PHILIP GAROFALO, PTA
- Title
- OWNER DIRECTOR
- Phone
- (617) 593-3176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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