Basic Information
| Provider Information | |||||||||
| NPI: | 1437385523 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TRAIN BOSTON PHYSICAL THERAPY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | WELLESLEY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024811934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812639993 | ||||||||
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| Practice Location | |||||||||
| Address1: | 34 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | WELLESLEY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024811934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812639993 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2009 | ||||||||
| LastUpdateDate: | 06/03/2009 | ||||||||
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| AuthorizedOfficialLastName: | MCGOVERN | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7812639993 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 511 | MA | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.