Provider First Line Business Practice Location Address: 
825 WASHINGTON ST STE 280
    Provider Second Line Business Practice Location Address: 
PHYSICAL THERAPY & SPORTS REHAB INC
    Provider Business Practice Location Address City Name: 
NORWOOD
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
02062
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
781-869-2040
    Provider Business Practice Location Address Fax Number: 
781-769-1914
    Provider Enumeration Date: 
12/04/2006