Individual
JOAO S AFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
301 BIRNIE AVENUE, STE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Mailing address
301 BIRNIE AVENUE, STE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17116
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17116
LICENSE
MA
Enumeration date
12/27/2007
Last updated
11/15/2023
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