IndividualActive
Amanda Civita
NPI 1962831081 · Physical Therapy Assistant · Boston, MA
Provider details
- NPI number
- 1962831081
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8663 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-7212
Fax: (617) 730-0151
Approximate (ZIP-level) locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2013-11-08
- Last updated
- 2013-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.