South Shore Sports & Muscular

NPI 1104822576 - Physical Therapist - 2251X0800X

NPI Details
NPI 1104822576
Enumeration Date 06/22/2005
Last Updated 12/19/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHEN LALLY STEPHEN
Position GENERAL MANAGER
Phone (781) 331-9600
Fax (781) 335-1556
Practice Location
90 LIBBEY INDUSTRIAL PKWY
STE 103
EAST WEYMOUTH MA, 02189-3129, US
Phone (781) 331-9600
Fax (781) 335-1556
Business Location
90 LIBBEY INDUSTRIAL PKWY
STE 103
EAST WEYMOUTH MA, 02189-3129, US
Phone (781) 331-9600
Fax (781) 335-1556
Toxanomy
Taxonomy Code 2251X0800X
License State Massachusetts
License Number 5290
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According to our database, South Shore Sports & Muscular NPI is 1104822576, taxonomy code is 2251X0800X and license number is 5290, license state is located at Massachusetts. South Shore Sports & Muscular physically located at 90 Libbey Industrial Pkwy, East Weymouth MA, 02189-3129. NPI Number 1033115704 has the healthcare provider type.

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1104822576 NPI number is provided on an as is basis without warranty of any kind. 1104822576 is maintained by the National Plan & Provider Enumeration System. The contents of South Shore Sports & Muscular are for informational purposes only.