Organization
THERAFIT 1 AT RIVEREDGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN MCCARTHY MSPT (TREASURER / DIRECTOR)
(978) 452-9252
Entity
Organization
Contact information
Practice address
176 WALKER ST, LOWELL, MA 01854-3126
(978) 452-9252
(978) 970-0271
Mailing address
176 WALKER ST, LOWELL, MA 01854-3126
(978) 452-9252
(978) 970-0271
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008849
AETNA GROUP PROVIDER ID
MA
01
—
604591
HARVARD PILGRIM GROUP ID
MA
01
—
72320
CIGNA GROUP ID
MA
01
—
800542
TUFTS PROVIDER ID
MA
01
—
Y65537
BLUE CROSS ID
MA
Enumeration date
06/19/2006
Last updated
04/20/2008
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