Provider Demographics
NPI:1285667642
Name:ALTERIO, KARA (PT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ALTERIO
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1 CREDIT UNION WAY FL3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:362 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4950
Practice Address - Country:US
Practice Address - Phone:508-584-7711
Practice Address - Fax:508-584-7744
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA10478225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0397237Medicaid
MAY68569Medicare ID - Type Unspecified