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Organization
PHYSICAL THERAPY ASSOC OF CONCORD
Active
Organization
PHYSICAL THERAPY ASSOC OF CONCORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY D ZUPKUS PT (PRESIDENT)
(978) 369-0730
Entity
Organization
Contact information
Practice address
290 BAKER AVE, STE 111, CONCORD, MA 01742
(978) 369-0730
(978) 371-7499
Mailing address
290 BAKER AVE, STE 111, CONCORD, MA 01742
(978) 369-0730
(978) 371-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9775161
—
MA
01
—
Y65568
BCBS
MA
Enumeration date
07/08/2006
Last updated
02/08/2008
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