Organization
CRITERION
Active
Other names
wachusett
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY GOODHILE (PHYSICAL THERAPIST)
(978) 632-4423
Entity
Organization
Contact information
Practice address
15 MANNING ST, JEFFERSON, MA 01522-1570
(508) 825-0621
Mailing address
31 LAKE ST, 180, GARDNER, MA 01440-3879
(978) 632-4432
(978) 632-6022
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
253Z00000X
In Home Supportive Care Agency
5211
MA
261QP2000X
Physical Therapy Clinic/Center
Primary
5211
MA
302F00000X
Exclusive Provider Organization
5211
MA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us