Individual
ADAM SOIREF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
156 ANDOVER ST UNIT 2, DANVERS, MA 01923-1468
(978) 767-8343
(978) 767-8349
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110105513A
MASSHEALTH PARTICIPATING PROVIDER ID
MA
05
—
110105513A
—
MA
Enumeration date
02/13/2014
Last updated
10/10/2018
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