Organization
DEMARTINO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO J DEMARTINO PT (PARTNER MANAGER)
(413) 442-0610
Entity
Organization
Contact information
Practice address
1450 EAST STREET, PITTSFIELD, MA 01201
(413) 442-0610
(413) 442-0689
Mailing address
1450 EAST STREET, SUITE 2, PITTSFIELD, MA 01201
(413) 442-0610
(413) 442-0689
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370851
—
MA
01
—
Y61168
BCBS
—
01
—
Y65044
HMOBLUE
—
Enumeration date
11/14/2006
Last updated
08/22/2020
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