Provider Demographics
NPI:1033164660
Name:PHILBRICK, AUBREY L (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:L
Last Name:PHILBRICK
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:AUBREY
Other - Middle Name:L
Other - Last Name:DOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:259 BEACON ST
Mailing Address - Street 2:APT. 53
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1209
Mailing Address - Country:US
Mailing Address - Phone:617-480-7587
Mailing Address - Fax:
Practice Address - Street 1:653 SUMMER ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2108
Practice Address - Country:US
Practice Address - Phone:617-269-6262
Practice Address - Fax:617-269-1068
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6440025OtherUNITED HEALTHCARE
MA8211OtherNEIGHBORHOOD HEALTH PLAN
MA467829OtherTUFTS HEALTH PLAN
MA603413OtherHARVARD PILGRIM
MAY68232OtherBLUE CROSS
MAY68232OtherBLUE CROSS