Back and Balance Rehabilitation Center

NPI #1649410507 in Boston, Massachusetts

Provider Information

NPI Number
1649410507
Entity Type
Organization
Organization Name
Back and Balance Rehabilitation Center
Primary Specialty
Physical Therapist
Enumeration Date
Mar 4, 2009
Last Updated
Mar 4, 2009

Practice Location

Address
665 BEACON ST
Address 2
400
City
Boston
ZIP Code
02215-3202
Phone
(617) 424-4760

Authorized Official

Name
MR. VYACHESLAV DENISHENKO
Title
RESIDENT AGENT
Phone
(617) 424-4749

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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