Tb12 LLC

NPI #1891190229 in Foxborough, Massachusetts

Provider Information

NPI Number: 1891190229
Entity Type: Organization
Organization Name: Tb12 LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 240 PATRIOT PL
City: Foxborough
State: Massachusetts
ZIP Code: 02035-5100
Phone: (508) 543-4900

Authorized Official

Name: MR. ALEJANDRO GUERRERO
Title: OPERATING MANAGER
Phone: (508) 543-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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