Provider Demographics
NPI:1023210564
Name:CURRERI, MARY BETH (PT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:CURRERI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BETH
Other - Last Name:SENIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4 COSMA RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1332
Mailing Address - Country:US
Mailing Address - Phone:508-238-2077
Mailing Address - Fax:508-238-5076
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1468
Practice Address - Country:US
Practice Address - Phone:508-238-2077
Practice Address - Fax:508-238-5076
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70020000Y66671Medicare UPIN
MAY68004Medicare ID - Type UnspecifiedP.T. PROVIDER