Individual
EDWARD T WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318701
—
MD
01
—
328820
CIGNA
MA
01
—
468025
TUFTS
MD
01
—
626330
HARVARD PILGRIM
MA
01
—
64029
AETNA
MA
01
—
981075
NETWORK HEALTH
MA
01
—
Y65047
BLUE CROSS
MA
Enumeration date
08/31/2006
Last updated
10/16/2010
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