Healthcare Provider Details

I. General information

NPI: 1245917467
Provider Name (Legal Business Name): RMG THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 RIVERSIDE DR STE 120
PEMBROKE MA
02359-4947
US

IV. Provider business mailing address

28 RIVERSIDE DR STE 120
PEMBROKE MA
02359-4947
US

V. Phone/Fax

Practice location:
  • Phone: 774-404-1058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARIE GOLASH
Title or Position: OWNER
Credential: LICSW
Phone: 774-404-1058