Organization
STEP AHEAD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CIARLETTA (OWNER)
(617) 240-9303
Entity
Organization
Contact information
Practice address
5 MIDDLESEX AVE, SUITE 203, SOMERVILLE, MA 02145-1102
(617) 240-9303
Mailing address
111 WATER ST APT 7, BEVERLY, MA 01915-5060
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11191
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67613
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
01/13/2011
Last updated
03/02/2011
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