Provider Demographics
NPI:1275990798
Name:DONNA BEHR PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:DONNA BEHR PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MS
Authorized Official - Phone:781-400-8636
Mailing Address - Street 1:35 HIGHLAND CIR
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM HEIGHTS
Mailing Address - State:MA
Mailing Address - Zip Code:02494-3099
Mailing Address - Country:US
Mailing Address - Phone:781-400-8636
Mailing Address - Fax:
Practice Address - Street 1:35 HIGHLAND CIR
Practice Address - Street 2:
Practice Address - City:NEEDHAM HEIGHTS
Practice Address - State:MA
Practice Address - Zip Code:02494-3099
Practice Address - Country:US
Practice Address - Phone:781-400-8636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty