Provider Demographics
NPI:1922213875
Name:HURLEY, CYNTHIA BEAL (PT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:BEAL
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 STODDARD RD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2941
Mailing Address - Country:US
Mailing Address - Phone:781-740-2093
Mailing Address - Fax:
Practice Address - Street 1:9 STODDARD RD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2941
Practice Address - Country:US
Practice Address - Phone:781-740-2093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAHU-Y65243OtherBCBS PROVIDER NUMBER