Provider Demographics
NPI:1477910370
Name:PAIGE, JAMES MARTIN III (DPT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARTIN
Last Name:PAIGE
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:135 DERBY ST
Mailing Address - Street 2:APT 3
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5639
Mailing Address - Country:US
Mailing Address - Phone:510-229-8526
Mailing Address - Fax:
Practice Address - Street 1:135 DERBY ST
Practice Address - Street 2:APT 3
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5639
Practice Address - Country:US
Practice Address - Phone:510-229-8526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21729225100000X
CA34057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist