| Terrill Therapy Inc | |
|
2 Oak St Ste 201 Mashpee MA 02649-3135 | |
| (508) 612-8503 | |
| Not Available |
| Full Name | Terrill Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Oak St Ste 201, Mashpee, Massachusetts |
| Authorized Official Name and Position | Kevin Terrill (OWNER) |
| Authorized Official Contact | 5086128503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrill Therapy Inc 17 Belfast Ln Mashpee MA 02649-3623 Ph: (508) 612-8503 | Terrill Therapy Inc 2 Oak St Ste 201 Mashpee MA 02649-3135 Ph: (508) 612-8503 |
| NPI Number | 1972221844 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Medicare PECOS PAC ID | 4486021243 |
|---|---|
| Medicare Enrollment ID | O20221108000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972221844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin P Terrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649690033 PECOS PAC ID: 6608091376 Enrollment ID: I20140714001654 |
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