Carrie Provencal in Leominster - Physical Therapist

Carrie Provencal - NPI 1467405183

Carrie Provencal is a Physical Therapist in Leominster, Massachusetts. Carrie Provencal practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Carrie Provencal is 1467405183. The last update date is 2007-12-17.

Carrie Provencal's current location address is 39 Cinema Blvd, Leominster, Massachusetts. You can contact this provider via phone number 9784666677 and fax number 9784661133. The mailing address for Carrie Provencal is 39 Cinema Blvd, Leominster, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Carrie Provencal
Address 39 Cinema Blvd, Leominster, Massachusetts
Phone Number 9784666677
Fax Number 9784661133
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1467405183
Provider Enumeration Date 2006-05-17
Last Updated Date 2007-12-17

Provider Mailing Address Detail

Address 39 Cinema Blvd
City Leominster
State Massachusetts (MA)
Post Code 1453
Phone Number 9784666677
Fax Number 9784661133

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 10819
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
468151 MA TUFTS
Y67949 MA BCBS

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FAQs about Carrie Provencal

What is the Carrie Provencal's unique identification number?

The Carrie Provencal has been assigned the NPI (National Provider Identifier) Number 1467405183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Carrie Provencal is physically located?

The Carrie Provencal is situated at the following address: 39 Cinema Blvd, Leominster, MA 1453.

What is Carrie Provencal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carrie Provencal's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date did the Carrie Provencal receive its 1467405183 assignment from the Centers for Medicare & Medicaid Services?

The Carrie Provencal was assigned its 1467405183 by the Centers for Medicare & Medicaid Services on 2006-05-17.

As of what date were the details pertaining to Carrie Provencal last refreshed?

The information related to the Carrie Provencal, including its address, specialty, and other relevant details, was last updated on 2007-12-17.

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