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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