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Organization
PHYSICAL THERAPY HEALTH SERVICES, INC
Active
Organization
PHYSICAL THERAPY HEALTH SERVICES, INC
Active
Other names
Physical Therapy Health Connection
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN MAILHOT (CREDENTIALING MANAGER)
(774) 331-2620
Entity
Organization
Contact information
Practice address
95 WASHINGTON ST, STE 462, CANTON, MA 02021-4006
(781) 828-7920
(781) 828-7951
Mailing address
95 WASHINGTON ST, STE 462, CANTON, MA 02021-4006
(781) 828-7920
(781) 828-7951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0031
MEDICARE PTAN
MA
Enumeration date
12/28/2005
Last updated
02/05/2015
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