Individual
ERIC MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
67 MECHANIC ST, FOXBORO, MA 02035-2012
(508) 203-9350
(508) 203-9355
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(133) 923-7350
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110140772A
—
MA
Enumeration date
09/06/2018
Last updated
10/09/2018
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