Organization
BLACKSTONE VALLEY PHYSICAL THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC M. CONNOLLY PT (PRESIDENT)
(508) 234-7544
Entity
Organization
Contact information
Practice address
670 LINWOOD AVE, SUITE 2, WHITINSVILLE, MA 01588-2068
(508) 234-7544
(508) 234-8002
Mailing address
670 LINWOOD AVE, SUITE 2, WHITINSVILLE, MA 01588-2068
(508) 234-7544
(508) 234-8002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60156
FIRST HEALTH
MA
01
—
603778
TUFTS
MA
01
—
626572
HARVARD PILGRIM
MA
01
—
64-00083
UNITED HEALTHCARE
MA
01
—
Y65612
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/04/2005
Last updated
03/11/2021
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