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Individual

RICHARD QUALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT, ATC

Contact information

Practice address
160 ROUTE 137, EAST HARWICH, MA 02645-1316
(774) 237-0832
(774) 408-7164
Mailing address
6 JONES LN, SAGAMORE BEACH, MA 02562-2538

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
8810
MA
2251X0800X
Orthopedic Physical Therapist
Primary
8810
MA

Other

Enumeration date
10/12/2006
Last updated
04/23/2020
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