Eclectic Physical Therapy

NPI 1083845812 - Physical Therapist - 225100000X

NPI Details
NPI 1083845812
Enumeration Date 07/28/2009
Last Updated 03/01/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name IAN L. IAN
Position OWNER
Phone (508) 246-4233
Fax
Practice Location
130 CORPORATE PARK DR
PEMBROKE MA, 02359-1910, US
Phone (508) 246-4233
Fax
Business Location
4 KING ARTHURS WAY
BOURNE MA, 02532-2376, US
Phone (508) 246-4233
Fax
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number AH 9431-PT
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According to our database, Eclectic Physical Therapy NPI is 1083845812, taxonomy code is 225100000X and license number is AH 9431-PT, license state is located at Massachusetts. Eclectic Physical Therapy physically located at 130 Corporate Park Dr, Pembroke MA, 02359-1910. NPI Number 1033115704 has the healthcare provider type.

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1083845812 NPI number is provided on an as is basis without warranty of any kind. 1083845812 is maintained by the National Plan & Provider Enumeration System. The contents of Eclectic Physical Therapy are for informational purposes only.