Provider Demographics
NPI:1477144657
Name:SPRING PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SPRING PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:401-741-2703
Mailing Address - Street 1:7 BUCHAN RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1905
Mailing Address - Country:US
Mailing Address - Phone:401-741-2703
Mailing Address - Fax:857-400-9767
Practice Address - Street 1:7 BUCHAN RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1905
Practice Address - Country:US
Practice Address - Phone:401-741-2703
Practice Address - Fax:857-400-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty