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NPI Profile for PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC in WILBRAHAM, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1083949861 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/12/2009 | |
| Last updated | 06/08/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC