# INNOVATIVE PHYSIATRY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447108527
- **Authorized official:** ADNAN DAHDUL MD (MANAGER)
- **Authorized official phone:** (413) 219-6121

## Contact information

- **Practice address:** 254 CEDAR SWAMP RD, MONSON, MA 01057-9307
- **Practice address phone:** (413) 333-8084
- **Practice address fax:** (413) 267-3258
- **Mailing address:** 254 CEDAR SWAMP RD, MONSON, MA 01057-9307
- **Mailing address phone:** (413) 333-8084
- **Mailing address fax:** (413) 267-3258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2026
- **Last updated:** 03/17/2026