Organization
PATRIOT ALL PRO PHYSICAL THERAPY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA P. TIPPETT (VICE PRESIDENT)
(508) 897-0056
Entity
Organization
Contact information
Practice address
348 N PEARL ST, BROCKTON, MA 02301-1197
(508) 897-0056
(508) 584-5630
Mailing address
348 N PEARL ST, BROCKTON, MA 02301-1197
(508) 897-0056
(508) 584-5630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
229
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033304
NEIGHBORHOOD HEALTH PLAN
MA
01
—
24063
BMC HEALTH NET
MA
01
—
626334
HARVARD PILGRIM HEALTHCARE
MA
01
—
695105
TUFTS HEALTH PLAN
MA
01
—
968175
NETWORK HEALTH
MA
01
—
9720430
MASS HEALTH
MA
05
—
9720430
—
MA
01
—
Y61278
BLUE CROSS BLUE SHIELD OF MA
MA
Enumeration date
01/08/2007
Last updated
05/20/2008
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