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Organization
WESTERN MASS. PHYSICAL THERAPY, P.C.
Active
Organization
WESTERN MASS. PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY H PORTER (BUSINESS MANAGER)
(413) 443-4246
Entity
Organization
Contact information
Practice address
290 1ST ST, PITTSFIELD, MA 01201-4751
(413) 443-4246
(413) 443-0737
Mailing address
290 1ST ST, PITTSFIELD, MA 01201-4751
(413) 443-4246
(413) 443-0737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9759441
—
MA
01
—
Y65606
BC/BS
MA
Enumeration date
08/08/2006
Last updated
08/22/2020
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