Keith A Correia in Revere - Physical Therapy Assistant
Keith A Correia - NPI 1689870396
Keith A Correia is a Physical Therapy Assistant in Revere, Massachusetts. Keith A Correia practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Keith A Correia is 1689870396. The last update date is 2007-07-08.
Keith A Correia's current location address is 117 Fernwood Ave, Revere, Massachusetts. You can contact this provider via phone number 7816291300. The mailing address for Keith A Correia is 117 Fernwood Ave, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A Correia |
|---|---|
| Address | 117 Fernwood Ave, Revere, Massachusetts |
| Phone Number | 7816291300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LATC, PTA |
NPI Number Detail
| NPI Number | 1689870396 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 117 Fernwood Ave |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21513484 |
| Phone Number | 7816291300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 4035 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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What is the Keith A Correia's unique identification number?
The Keith A Correia has been assigned the NPI (National Provider Identifier) Number 1689870396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Keith A Correia?
The Keith A Correia is physically situated at 117 Fernwood Ave, in the city of Revere, state of MA, with the postal code 21513484.
What is Keith A Correia's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith A Correia is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
When did the Keith A Correia receive its 1689870396?
The Keith A Correia was issued its 1689870396 on 2007-06-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Keith A Correia's details last updated?
The information pertaining to the Keith A Correia, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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