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Contact Information

BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
362 BELMONT ST
BROCKTON, MA02301-4950
 Phone: 508-584-7711
 Fax: 508-584-7744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Chiropractor

111N00000X 35 Chiropractic
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BAY STATE PHYSICAL THERAPY OF RANDOLPH INC · (Female)

NPI # 1740390459
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 01/25/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9705601
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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