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Individual
MICHELLE A WELLEN
Active
Individual
MICHELLE A WELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319180
MEDICAID/WELFARE
—
05
—
0319180
—
MA
01
—
042472266
HEALTHCARE VALUE MANAGMEN
—
01
—
2779432
CIGNA HEALTH PLAN
—
01
—
2779432001
CIGNA PAL ID (REFERRAL #)
—
01
—
35481155
CIGNA HEALTHSOURCE
—
01
—
44341
FALLON COMMUNITY HEALTH P
—
01
—
650017525
RAILROAD MEDICARE
—
01
—
7714608
AETNA/US HEALTHCARE
—
01
—
787405
MVP HEALTH CARE
—
01
—
AA4052
HARVARD PILGRIM HEALTHCAR
—
01
—
Y67939
BLUE CARE ELECT
—
01
—
Y68479
MEDICARE B
—
Enumeration date
01/20/2006
Last updated
03/04/2009
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