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Organization

ORTHOSPORT PHYSICAL THERAPY INC

Active
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Organization

ORTHOSPORT PHYSICAL THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS A PASSARETTI P.T. (OWNER)
(508) 533-5778
Entity
Organization

Contact information

Practice address
116 MAIN ST, MEDWAY, MA 02053-1800
(508) 533-5778
(508) 533-5778
Mailing address
116 MAIN ST, MEDWAY, MA 02053-1800
(508) 533-5778
(508) 533-5778

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2873
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605703
HARVARD PILGRIM
MA
01
—
723025
TUFTS
MA
01
—
Y61074
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/19/2007
Last updated
08/22/2020
About Stedi
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