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Organization
ULTRACARE, P.C.
Active
Organization
ULTRACARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHERINE ANNE VIVEIROS (BILLING MANAGER)
(508) 675-2840
Entity
Organization
Contact information
Practice address
157 MAIN ST, BROCKTON, MA 02301-4012
(508) 510-4221
(508) 510-5126
Mailing address
PO BOX 4137, BROCKTON, MA 02303-4137
(508) 510-4221
(508) 510-5126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922272947
PHYSCIAL THERAPY INDIVIDUAL NPI LAUREN SIMON, PT
MA
Enumeration date
11/26/2014
Last updated
11/26/2014
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