Michael Joseph Stare DPT, CSCS

NPI 1083696579 - Physical Therapist - 2251X0800X

NPI Details
NPI 1083696579
Gender Male
Enumeration Date 11/18/2005
Last Updated 01/26/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
100 CUMMINGS CTR
SUITE 121Q
BEVERLY MA, 01915-6115, US
Phone (978) 927-0907
Fax (978) 927-0537
Business Location
6 CORLISS RD
WINDHAM NH, 03087-2388, US
Phone (603) 918-6080
Fax
Toxanomy
Taxonomy Code 2251X0800X
License State Massachusetts
License Number 15505
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According to our database, Dr. Michael Joseph Stare DPT, CSCS NPI is 1083696579, taxonomy code is 2251X0800X and license number is 15505, license state is located at Massachusetts. Michael Joseph Stare DPT, CSCS physically located at 100 Cummings Ctr, Beverly MA, 01915-6115. NPI Number Michael Joseph Stare DPT, CSCS has the Individual type.

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1083696579 NPI number is provided on an as is basis without warranty of any kind. 1083696579 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Joseph Stare DPT, CSCS are for informational purposes only.