Provider Demographics
NPI:1942376876
Name:VACOVEC, JOHN ANDREW (PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANDREW
Last Name:VACOVEC
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:PHYSICAL THERAPY & SPORTS REHAB INC
Mailing Address - Street 2:825 WASHINGTON ST STE 280
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-769-2040
Mailing Address - Fax:781-769-1914
Practice Address - Street 1:PHYSICAL THERAPY & SPORTS REHAB INC
Practice Address - Street 2:825 WASHINGTON ST STE 280
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-769-2040
Practice Address - Fax:781-769-1914
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
303012OtherTUFTS
Y65167OtherBCBS
57046OtherFALLON
303012OtherTUFTS