Essex Chiropractic & Physical Therapy, Llc | |
16 Haverhill St, Andover, MA 01810-3002 | |
(978) 470-1499 | |
Not Available |
Full Name | Essex Chiropractic & Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 16 Haverhill St, Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245469477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael L Provenzano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225157423 PECOS PAC ID: 5799795274 Enrollment ID: I20071009000703 |
Mailing Address | Practice Location Address |
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Essex Chiropractic & Physical Therapy, Llc 16 Haverhill St, Andover, MA 01810-3002 Ph: (978) 470-1499 | Essex Chiropractic & Physical Therapy, Llc 16 Haverhill St, Andover, MA 01810-3002 Ph: (978) 470-1499 |
Mrs. Roxann E. Nickerson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Hampton Ln, Andover, MA 01810 Phone: 978-475-4450 | |
Encompass Home Health Of New England Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 New England Business Center Dr., Suite 207, Andover, MA 01810 Phone: 978-388-4500 Fax: 978-388-8255 | |
Ms. Donna Bogdan Cordova, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Lowell St, Andover, MA 01810 Phone: 978-475-4056 Fax: 978-475-4046 | |
Victoria Taylor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Brickstone Sq, Andover, MA 01810 Phone: 978-247-7500 | |
Mr. Fred Mitchell Stern, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Wescott Rd, Andover, MA 01810 Phone: 978-475-1019 | |
Cherie Mars, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Brickstone Sq, Andover, MA 01810 Phone: 617-383-6624 | |
Nicole Collette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Osgood St, Andover, MA 01810 Phone: 978-475-3806 |