Mrs Carrie Provencal, PT | |
39 Cinema Blvd, Leominster, MA 01453 | |
(978) 466-6677 | |
(978) 466-1133 |
Full Name | Mrs Carrie Provencal |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 39 Cinema Blvd, Leominster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467405183 | NPI | - | NPPES |
468151 | Other | MA | TUFTS |
Y67949 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10819 (Massachusetts) | Primary |
Provider Name | Streb Family Chiropractic And Massage Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326345745 PECOS PAC ID: 4183893423 Enrollment ID: O20110803000336 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carrie Provencal, PT 39 Cinema Blvd, Leominster, MA 01453 Ph: (978) 466-6677 | Mrs Carrie Provencal, PT 39 Cinema Blvd, Leominster, MA 01453 Ph: (978) 466-6677 |
Mr. Edward J Ramsey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 | |
Christopher M Urato, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 | |
Nicole Gilpin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 | |
Julie Mulcahy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 | |
Mrs. Victoria Quattrucci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Cinema Blvd, Ramsey Rehabilitation, Inc, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 | |
Katherine Everson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 | |
Kendra Harris, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Cinema Blvd, Leominster, MA 01453 Phone: 978-466-6677 Fax: 978-466-1133 |