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Contact Information

BACK ON TRACK, P.C.
1269 BEACON ST
2ND FLOOR
BROOKLINE, MA02446-5248
 Phone: 617-730-5337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BACK ON TRACK PC · (Female)

NPI Number 1255484168
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2007
Last updated 12/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 38
  • MA Other Y65633 BC LEGACY PT SERVICES
  • MA Other OG0001 BC LEGACY OT SERVICES
  • MA Other 605716 HPHC LEGACY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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