Individual
MS. CONCETTA PHYLLIS SWEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CPUR
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2409
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385603
—
MA
01
—
Y66632
BC/BS PROVIDER #
MA
Enumeration date
09/25/2005
Last updated
11/08/2010
Update your record
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