Organization
LEXINGTON PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LAVIOLETTE PT (OWNER)
(781) 861-8884
Entity
Organization
Contact information
Practice address
35 BEDFORD ST, SUITE 5, LEXINGTON, MA 02420-4320
(781) 861-8884
(781) 861-7665
Mailing address
35 BEDFORD ST, SUITE 5, LEXINGTON, MA 02420-4320
(781) 861-8884
(781) 861-7665
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800168
TUFTS HEALTH PLAN
MA
01
—
Y65629
BCBS OF MASSACHUSETTS
MA
Enumeration date
10/02/2006
Last updated
05/07/2015
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