Provider Demographics
NPI:1154582195
Name:BRIGHTON PHYSICAL THERAPY CENTER, INC.
Entity type:Organization
Organization Name:BRIGHTON PHYSICAL THERAPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMITAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-783-0433
Mailing Address - Street 1:1505 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3605
Mailing Address - Country:US
Mailing Address - Phone:617-783-0433
Mailing Address - Fax:617-783-0633
Practice Address - Street 1:1505 COMMONWEALTH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3605
Practice Address - Country:US
Practice Address - Phone:617-783-0433
Practice Address - Fax:617-783-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty