360 Balance Physical Therapy LLC
Clinic/Center, Physical Therapy in Boston, MA. Organization (NPI-2).
NPI number1659080281
StatusActive
Last updated in NPPESNov 22, 2022
Details
- NPI
- 1659080281
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Balance Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 22, 2022
- Certification date
- Nov 22, 2022
- Last updated
- Nov 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Lina Hudson Pt (Other Name)
Practice location
137 Newbury St Unit 607Boston, MA 02116-2912
Phone 857-207-8675
Mailing address
137 Newbury St Unit 607Boston, MA 02116-2912
Phone 857-207-8675
Authorized official
Lina Hudson
Managing Member
8572078675
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