Individual
CARYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
266 MAIN ST STE 17, MEDFIELD, MA 02052-2019
(508) 556-1397
Mailing address
425 CENTRE ST, NEWTON, MA 02458-2063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18700
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042103881
BIDMC TAX ID#
—
01
—
1548202641
BIDMC NPI
—
01
—
220086
MEDICARE PROVIDER #
—
Enumeration date
11/03/2010
Last updated
09/12/2022
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