Organization
MOBILITY PLUS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG TARANTINO PT, MS (PRESIDENT)
(781) 254-7560
Entity
Organization
Contact information
Practice address
193 ROCKLAND ST, HANOVER, MA 02339-2231
(781) 826-2200
(781) 826-2221
Mailing address
67 HAZELWOOD DR, PEMBROKE, MA 02359-2127
(781) 293-0056
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600719
HARVARD PILGRIM HEALTHCARE
MA
01
—
6400037
UNITED
MA
01
—
703674
TUFTS
MA
01
—
8413153001
CIGNA
MA
05
—
97421742
—
MA
01
—
Y65618
BCBS OF MA
MA
Enumeration date
04/15/2011
Last updated
04/15/2011
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