Individual
EMILY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
456 MAIN ST STE A-B, HOLDEN, MA 01520-3708
(508) 721-0000
(508) 721-0100
Mailing address
489 WASHINGTON ST STE 200, AUBURN, MA 01501-5709
(774) 696-8309
(508) 297-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305214540
VIRGINIA PT LICENSE
VA
Enumeration date
10/29/2021
Last updated
10/29/2021
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