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Organization
PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Active
Organization
PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Active
Other names
ATI Physical Therapy of Western Massachusetts
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
300 BIRNIE AVE, SUITE 304, SPRINGFIELD, MA 01107
(413) 781-1054
(413) 439-0026
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MA
2251H1200X
Hand Physical Therapist
—
MA
225X00000X
Occupational Therapist
Primary
—
MA
225XH1200X
Hand Occupational Therapist
—
MA
Other
Enumeration date
09/11/2007
Last updated
10/31/2024
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