Leah Hultstrom, PT, DPT | |
165 Main St Unit 202a, Medway, MA 02053-1584 | |
(617) 759-8444 | |
Not Available |
Full Name | Leah Hultstrom |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 165 Main St Unit 202a, Medway, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982717211 | NPI | - | NPPES |
Y67284 | Other | MA | BCBS INDIVIDUAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT10511 (Massachusetts) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 10511MA (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Leah Hultstrom, PT, DPT 17 Stable Way, Medway, MA 02053-6126 Ph: (617) 759-8444 | Leah Hultstrom, PT, DPT 165 Main St Unit 202a, Medway, MA 02053-1584 Ph: (617) 759-8444 |
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