Organization
ADVANCE THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MYERS PT (OWNER)
(413) 584-7234
Entity
Organization
Contact information
Practice address
16 WEST ST, WEST HATFIELD, MA 01088
(413) 247-6471
(413) 247-6474
Mailing address
16 WEST ST, WEST HATFIELD, MA 01088-9515
(413) 247-6471
(413) 247-6474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805420
TUFTS
MA
01
—
Y65630
BLUE CROSS OF MA
MA
Enumeration date
07/13/2006
Last updated
08/17/2018
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