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Individual

MRS. JOANNA M GERETY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
101 CAMBRIDGE STREET, C/O ORTHOPAEDICS PLUS, BURLINGTON, MA 01803-3766
(781) 229-8011
(781) 229-8374
Mailing address
15 RYE STREET, STE 125 ABILITIES REHABILITATION CENTER, LLC, PORTSMOUTH, NH 03801
(603) 610-2200
(603) 610-2202

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19470
MA
225100000X
Physical Therapist
2912
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-3115319
TAX ID ORTHOPAEDICS PLUS
MA
01
08Y005403NH01
ANTHEM PROVIDER NUMBER
NH
01
542065286
TAX IDENTIFICATION NUMBER
NH
01
626470
HPHC PROVIDER NUMBER
NH
Enumeration date
01/04/2007
Last updated
10/12/2012
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