Organization
BODY WORKS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANITA SHEPARD DPT (DIRECTOR OF REHAB SERVICES)
(978) 452-6121
Entity
Organization
Contact information
Practice address
103 MARKET ST, LOWELL, MA 01852-1807
(978) 452-6121
(978) 452-8991
Mailing address
103 MARKET ST, LOWELL, MA 01852-1807
(978) 452-6121
(978) 452-8991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9786473
—
MA
Enumeration date
03/28/2007
Last updated
08/22/2020
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