Organization
CORE PHYSICAL THERAPY & PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA LUCCHESI DPT (PHYSICAL THERAPIST)
(508) 314-6008
Entity
Organization
Contact information
Practice address
11 RANDOLPH RD, RANDOLPH, MA 02368-4321
(508) 314-6008
Mailing address
53 FARM ST, DOVER, MA 02030-2304
(508) 314-6008
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255755831
—
MA
Enumeration date
01/05/2020
Last updated
01/05/2020
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