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Organization
MASS BAY SPINE & SPORT PHYSICAL THERAPY, INC.
Active
Organization
MASS BAY SPINE & SPORT PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN CARMAN PT, DPT, ATC (OWNER/PHYSICAL THERAPIST)
(781) 319-0024
Entity
Organization
Contact information
Practice address
506 PLAIN ST, STE 101, MARSHFIELD, MA 02050-2744
(781) 319-0024
(781) 319-0088
Mailing address
506 PLAIN ST, STE 101, MARSHFIELD, MA 02050-2744
(781) 319-0024
(781) 319-0088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441368
TUFTS HEALTHPLAN
MA
01
—
AA40694
HARVARD PILGRIM HEALTHCAR
MA
01
—
Y61429
BCBS
MA
Enumeration date
07/10/2006
Last updated
11/25/2014
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