Organization
LEGACY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BERUBE MPT (PHYSICAL THERAPIST/OWNER/DIRECTOR)
(413) 886-7825
Entity
Organization
Contact information
Practice address
110 HAVERHILL RD, SUITE 292, AMESBURY, MA 01913-2123
(413) 886-7825
Mailing address
30 WILDWOOD DR, NEWBURYPORT, MA 01950-4517
(413) 886-7825
(978) 255-1252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
17059
MA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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