Stay Active Physical Therapy and Performance
NPI #1457920118 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1457920118
- Entity Type
- Organization
- Organization Name
- Stay Active Physical Therapy and Performance
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 17, 2021
- Last Updated
- Jun 17, 2021
Practice Location
- Address
- 27 TACOMA ST
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-3203
- Phone
- (857) 204-6228
Authorized Official
- Name
- KHALEEL ABDUL-JABBAAR
- Title
- PHYSICAL THERAPIST
- Phone
- (857) 204-6228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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