Whitecap Performance Llc

NPI 1578956389 - Physical Therapist - 225100000X

NPI Details
NPI 1578956389
Enumeration Date 03/18/2015
Last Updated 03/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DWIGHT DWIGHT
Position DIRECTOR OF PHYSICAL THERAPY
Phone (781) 749-3833
Fax (781) 749-3848
Practice Location
35 POND PARK RD
SUITE 1
HINGHAM MA, 02043-4350, US
Phone (781) 749-3833
Fax (781) 749-3848
Business Location
35 POND PARK RD
SUITE 1
HINGHAM MA, 02043-4350, US
Phone (781) 749-3833
Fax (781) 749-3848
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 904
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According to our database, Whitecap Performance Llc NPI is 1578956389, taxonomy code is 225100000X and license number is 904, license state is located at Massachusetts. Whitecap Performance Llc physically located at 35 Pond Park Rd, Hingham MA, 02043-4350. NPI Number 1033115704 has the healthcare provider type.

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1578956389 NPI number is provided on an as is basis without warranty of any kind. 1578956389 is maintained by the National Plan & Provider Enumeration System. The contents of Whitecap Performance Llc are for informational purposes only.