Organization
VIKI W. STORM,P.T. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKI STORM PT (PRESIDENT)
(413) 369-4348
Entity
Organization
Contact information
Practice address
150 UNIVERSITY DR, AMHERST, MA 01002-2232
(413) 256-8185
(413) 369-0282
Mailing address
134 RIVER ST., P.O.BOX 147, CONWAY, MA 01341
(413) 369-4348
(413) 369-0282
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332844
—
MA
01
—
P00187267
RAILROAD MEDICARE
—
01
—
Y65462
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/06/2010
Last updated
08/06/2010
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