Provider Demographics
NPI:1235370206
Name:WALK WELL FOOT AND LOWER EXTREMITY REHABILITATION LLC
Entity Type:Organization
Organization Name:WALK WELL FOOT AND LOWER EXTREMITY REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-522-4199
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:STE 455-C
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-522-4199
Mailing Address - Fax:978-522-1900
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:STE 455-C
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-522-4199
Practice Address - Fax:978-522-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty