Individual
MR. JAMES R CORRENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403087537
PRIVATE
MA
01
—
470205
TUFTS HEALTH PLAN
MA
01
—
616931
HARVARD PILGRIM HEALTH
MA
01
—
Y68032
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/30/2006
Last updated
10/08/2012
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