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Organization

LOUIS B. COIRO, INC.

Active
Other names
Tewksbury Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA BLUTE (ADMINISTRATIVE DIRECTOR)
(978) 851-8768
Entity
Organization

Contact information

Practice address
885 MAIN ST, UNIT 4, TEWKSBURY, MA 01876-1800
(978) 851-8768
(978) 851-8606
Mailing address
885 MAIN ST, UNIT #4, TEWKSBURY, MA 01876-1800
(978) 851-8768
(978) 851-8606

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40400
FALLON
MA
01
605420
HARVARD PILGRIM
MA
01
709987
TUFT HEALTH PLAN
MA
01
87726
UNITED HEALTH CARE
MA
01
Y65627
BCBS
MA
Enumeration date
12/28/2005
Last updated
07/13/2023
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