Individual
DENISE A BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10 OAK ST, SUITE 2, NEEDHAM, MA 02492-2409
(781) 444-0345
(781) 444-6105
Mailing address
10 OAK ST, SUITE 2, NEEDHAM, MA 02492-2409
(781) 444-0345
(781) 444-6105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366129
—
MA
01
—
Y66723
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/26/2007
Last updated
06/20/2012
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