South Shore Injury Treatment Center
NPI #1922478643 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1922478643
- Entity Type
- Organization
- Organization Name
- South Shore Injury Treatment Center
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 7, 2015
- Last Updated
- Oct 7, 2015
Practice Location
- Address
- 25 SCHOOL ST
- Address 2
- B2
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02169-6607
- Phone
- (617) 689-0440
Authorized Official
- Name
- JAY A PROVENZANO
- Title
- TREASURER
- Phone
- (617) 689-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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