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Organization
PATIENT FIRST CHIROPRACTIC AND PHYSICAL THERAPY
Active
Organization
PATIENT FIRST CHIROPRACTIC AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CADDOO DC (OWNER)
(781) 894-8880
Entity
Organization
Contact information
Practice address
564 MAIN ST, WALTHAM, MA 02452-5516
(781) 894-8880
Mailing address
564 MAIN ST, WALTHAM, MA 02452-5516
(781) 894-8880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y61232
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/29/2007
Last updated
10/29/2007
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