Beantown Physio, INC

NPI #1477547529 in Brookline, Massachusetts

Provider Information

NPI Number: 1477547529
Entity Type: Organization
Organization Name: Beantown Physio, INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 6, 2005
Last Updated: Oct 18, 2011

Practice Location

Address: 33 POND AVE
Address 2: SUITE 107B
City: Brookline
State: Massachusetts
ZIP Code: 02445-7163
Phone: (617) 232-7246

Authorized Official

Name: PAUL M GHOSTLAW, PT
Title: PRESIDENT/ PHYSICAL THERPIST
Phone: (617) 232-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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