Susan D. Tack PT

NPI 1477731610 - Physical Therapist - 225100000X

NPI Details
NPI 1477731610
Gender Female
Enumeration Date 02/08/2008
Last Updated 04/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
800 MAIN ST
UNIT 9
HOLDEN MA, 01520-1838, US
Phone (508) 829-3113
Fax
Business Location
16 WELLINGTON DR
HUDSON MA, 01749-1120, US
Phone (978) 567-9266
Fax
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 7024
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According to our database, Susan D. Tack PT NPI is 1477731610, taxonomy code is 225100000X and license number is 7024, license state is located at Massachusetts. Susan D. Tack PT physically located at 800 Main St, Holden MA, 01520-1838. NPI Number Susan D. Tack PT has the Individual type.

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1477731610 NPI number is provided on an as is basis without warranty of any kind. 1477731610 is maintained by the National Plan & Provider Enumeration System. The contents of Susan D. Tack PT are for informational purposes only.