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Organization
RAY DEREK MUNN
Active
Organization
RAY DEREK MUNN
Active
Other names
At Home Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RAY DEREK MUNN PT, MPT, DPT, OCS (OWNER)
(617) 306-6519
Entity
Organization
Contact information
Practice address
30 PLAYSTEAD RD, SUITE #1, NEWTON, MA 02458-2125
(617) 306-6519
(617) 244-4672
Mailing address
30 PLAYSTEAD RD, SUITE #1, NEWTON, MA 02458-2125
(617) 306-6519
(617) 244-4672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11262
MA
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0329
MEDICARE IDENTIFICATION NUMBER
—
Enumeration date
11/16/2006
Last updated
10/03/2008
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