Organization
ELEVATION PHYSICAL THERAPY & PERFORMANCE PLLC MAURICE DISLEY SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE PATRICK DISLEY IV (PHYSICAL THERAPIST)
(413) 285-4015
Entity
Organization
Contact information
Practice address
340 MCKINSTRY AVE STE 250, CHICOPEE, MA 01013-1849
(413) 285-4015
Mailing address
58 BURNETT ST APT 2, GRANBY, MA 01033-3312
(413) 285-4015
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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