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Organization
PHYSIOWORKS, LLC
Active
Organization
PHYSIOWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R GARRETT MSC HONS P.T (OWNER)
(508) 680-1276
Entity
Organization
Contact information
Practice address
23 W CHESTER ST, APARTMENT 5, NANTUCKET, MA 02554-3680
(508) 680-1276
(508) 680-1427
Mailing address
23 W CHESTER ST, APARTMENT 5, NANTUCKET, MA 02554-3680
(508) 680-1276
(508) 680-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650041
TUFTS
MA
01
—
Y68819
BLUE CROSS OF MA
MA
Enumeration date
08/18/2008
Last updated
10/21/2009
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