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Organization

MEDFIELD ORTHOPEDIC & SPORTS PHYSICAL THERAPY

Active
Other names
Medfield Orthopedic & Sports Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA C SPILLANE PT, ATC (PRESIDENT/OWNER)
(508) 359-9119
Entity
Organization

Contact information

Practice address
5 N MEADOWS RD, MEDFIELD, MA 02052-2317
(508) 359-9119
(508) 359-9115
Mailing address
5 N MEADOWS RD, MEDFIELD, MA 02052-2317
(508) 359-9119
(508) 359-9115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary
292
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
602284
TUFT'S GROUP PROVIDER NUM
MA
01
AA9368
HPHC GROUP PROVIDER NUMBE
MA
01
Y61374
BCBS GROUP NUMBER
MA
Enumeration date
08/11/2006
Last updated
02/08/2008
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