Organization
MARIBETH CRUPI PHYSICAL THERPAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIBETH CRUPI PT (PRACTICE OWNER)
(978) 203-0665
Entity
Organization
Contact information
Practice address
10 ELIZABETH DRIVE, WILMINGTON, MA 01887
(978) 203-0665
(978) 203-0667
Mailing address
10 ELIZABETH DRIVE, WILMINGTON, MA 01887
(978) 203-0665
(978) 203-0667
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018989
MEDICARE PTAN
MA
01
—
70010000Y66159
BLUE CROSS BLUE SHIELD
MA
01
—
AA282661
HARVARD PILGRIM HEALTHCARE
MA
Enumeration date
03/15/2013
Last updated
01/21/2014
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