Longfellow Holistic Health Center
Physical Therapist in Wayland, MA. Organization (NPI-2).
NPI number1164021986
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1164021986
- Entity type
- Organization (NPI-2)
- Legal business name
- Longfellow Holistic Health Center
- Organization subpart
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225700000X | Massage Therapist | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
524 Boston Post RdWayland, MA 01778
Phone 508-358-4900 · Fax 508-358-3525
Mailing address
524 Boston Post RdWayland, MA 01778
Phone 508-358-4900 · Fax 508-358-3525
Authorized official
Lynne M King
Pt, Co Owner
5083584900
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