Individual
ELIZABETH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
186 SUMMER ST, KINGSTON, MA 02364-1282
(781) 585-8588
(781) 585-1279
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100113398A
—
MA
01
—
1269094
ASHCIGNA
MA
01
—
4819124
AETNA
MA
Enumeration date
09/04/2014
Last updated
05/20/2022
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