Andrew J Provost, MSPT

NPI #1962795583 in Allston, Massachusetts

Provider Information

NPI Number: 1962795583
Entity Type: Individual
Name: Andrew J Provost, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: May 17, 2011
Last Updated: Sep 12, 2012

Practice Location

Address: 1 BRAINTREE ST ST
City: Allston
State: Massachusetts
ZIP Code: 02134-1956
Phone: (617) 787-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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