Leslie Allison Axford, PT, DPT | |
1493 Cambridge St, Cambridge, MA 02139-1047 | |
(617) 665-1579 | |
Not Available |
Full Name | Leslie Allison Axford |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1493 Cambridge St, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578076576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 23014 (Massachusetts) | Primary |
Provider Name | Bold Coast Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912575069 PECOS PAC ID: 0941678841 Enrollment ID: O20221128001221 |
Mailing Address | Practice Location Address |
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Leslie Allison Axford, PT, DPT 40 Swantondrive, Dartmouth, NOVA SCOTIA B2W 2-C5 Ph: () - | Leslie Allison Axford, PT, DPT 1493 Cambridge St, Cambridge, MA 02139-1047 Ph: (617) 665-1579 |
Sita Anajis Agterberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Ms. Melissa Gayle Buffer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Massachusetts Ave Ste 7, Cambridge, MA 02139 Phone: 503-678-9806 | |
Miranda Mara Boucher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Jessica Qiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 Cambridge St, Cambridge, MA 02138 Phone: 617-876-4344 | |
Sarah Martyn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2422 | |
Daniel Woodward, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 256-426-4297 | |
Elizabeth Kravets, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 |