Individual
MR. JOHN WAYNE INACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C.
Contact information
Practice address
214 N MAIN ST, SUITE 107, NATICK, MA 01760-1131
(508) 650-1856
(508) 653-9563
Mailing address
23 LIBERTY ST, NATICK, MA 01760-1245
(508) 647-2299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4097
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370797
—
MA
01
—
469186
TUFTS
MA
01
—
Y65359
MASSACHUSETTS BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/02/2005
Last updated
05/02/2008
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