Individual
MR. EDWARD DECHELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, MT
Contact information
Practice address
233 OLD WENDELL RD, NORTHFIELD, MA 01360-9674
(413) 218-6715
Mailing address
233 OLD WENDELL RD, NORTHFIELD, MA 01360-9674
(413) 218-6715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3729
MA
225700000X
Massage Therapist
Primary
6291
MA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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