Anita Phan, DPT | |
186 Summer St, Kingston, MA 02364-1282 | |
(781) 585-8588 | |
(781) 585-1279 |
Full Name | Anita Phan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 186 Summer St, Kingston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891550596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL27396 (Massachusetts) | Primary |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Anita Phan, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 961-3370 | Anita Phan, DPT 186 Summer St, Kingston, MA 02364-1282 Ph: (781) 585-8588 |
Jennifer Cronin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Summer St, Kingston, MA 02364 Phone: 781-585-8588 | |
Nora Finn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Orchard Ave, Kingston, MA 02364 Phone: 781-585-1255 | |
Redpoint Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 187 Summer St, Unit 3, Kingston, MA 02364 Phone: 781-422-3466 Fax: 774-283-7202 | |
Tess Chilcott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Summer St, Kingston, MA 02364 Phone: 781-585-8588 Fax: 781-585-1279 | |
Holly Anne Petersen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Summer St, Kingston, MA 02364 Phone: 781-585-8588 Fax: 781-585-1279 | |
Erin E Lothian, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 186 Summer St, Kingston, MA 02364 Phone: 781-585-8588 Fax: 781-585-1276 | |
Mrs. Michelle Lea Aucoin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Crescent St, Kingston, MA 02364 Phone: 508-747-2012 |