Provider Demographics
NPI:1215538665
Name:SAYANG PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SAYANG PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEALIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAN ZAID
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:617-653-8311
Mailing Address - Street 1:425 PLEASANT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2533
Mailing Address - Country:US
Mailing Address - Phone:508-640-5000
Mailing Address - Fax:
Practice Address - Street 1:425 PLEASANT ST STE 202
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2533
Practice Address - Country:US
Practice Address - Phone:508-640-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty