Healthcare Provider Details

I. General information

NPI: 1659170488
Provider Name (Legal Business Name): CURATED PT & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 BRIDGE ST
DEDHAM MA
02026-1702
US

IV. Provider business mailing address

425 EAST ST
DEDHAM MA
02026-3019
US

V. Phone/Fax

Practice location:
  • Phone: 508-963-3098
  • Fax:
Mailing address:
  • Phone: 508-963-3098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUREN AZIZIAN
Title or Position: MANAGER
Credential: PT
Phone: 508-963-3098