Provider Demographics
NPI: | 1639882954 |
---|---|
Name: | PAUL AMOROSINO PHYSICAL THERAPY LLC |
Entity Type: | Organization |
Organization Name: | PAUL AMOROSINO PHYSICAL THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | AMOROSINO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DPT |
Authorized Official - Phone: | 781-424-9810 |
Mailing Address - Street 1: | 386 WASHINGTON ST |
Mailing Address - Street 2: | |
Mailing Address - City: | NORWELL |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02061-2010 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 781-227-6944 |
Mailing Address - Fax: | 781-235-3345 |
Practice Address - Street 1: | 386 WASHINGTON ST |
Practice Address - Street 2: | |
Practice Address - City: | NORWELL |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02061-2010 |
Practice Address - Country: | US |
Practice Address - Phone: | 781-227-6944 |
Practice Address - Fax: | 781-235-3345 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-01-02 |
Last Update Date: | 2023-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |