Provider Demographics
NPI:1336565845
Name:ACUPUNCTURE FAMILY PRACTICE
Entity Type:Organization
Organization Name:ACUPUNCTURE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, L/OTR
Authorized Official - Phone:978-443-6789
Mailing Address - Street 1:75 UNION AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2282
Mailing Address - Country:US
Mailing Address - Phone:978-443-6789
Mailing Address - Fax:978-440-8339
Practice Address - Street 1:75 UNION AVE STE 101
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-2282
Practice Address - Country:US
Practice Address - Phone:978-443-6789
Practice Address - Fax:978-440-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty