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Individual

DONNA DUROCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
168 DENSLOW ROAD, EAST LONGMEADOW, MA 01028
(413) 526-9924
(413) 526-9961
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5320
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000035257
BOSTON MEDICAL HEALTHNET GROUP NO
MA
01
000000035324
BOSTON MEDICAL HEALTH NET
MA
01
043527
CONNECTICARE GROUP NO
MA
01
043527497
CONSOLIDATE HEALTH PLANS
MA
01
043527497
AETNA GROUP NO
05
0704709
MA
01
080005320MA06
ANTHEM BCBS
01
080005320MA07
ANTHEM BCBS
01
103355100
DEPARTMENT OF LABOR
MA
01
11539624
CAQH
01
1587870
CIGNA INDIVIDUAL NO
MA
01
28117
HEALTH NEW ENGLAND GROUP NO
MA
01
337847
TUFTS INDIVIDUAL NO
MA
01
4265439
AETNA INDIVIDUAL NO
01
690675
TUFTS GROUP NO
MA
05
9715568
MA
01
972730
NETWORK HEALTH GROUP
MA
01
P00420770
PALMETTO RR MEDICARE
MA
01
Y61264
BLUE CROSS BLUE SHIELD GROUP NO
MA
01
Y65488
BLUE CROSS BLUE SHIELD INDIDUAL NO
Enumeration date
10/10/2006
Last updated
05/12/2017
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