Nathan Clarke, | |
64j Concord St, Wilmington, MA 01887-2179 | |
(781) 935-7701 | |
Not Available |
Full Name | Nathan Clarke |
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Gender | Male |
Speciality | Physical Therapist |
Location | 64j Concord St, Wilmington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043920218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26573 (Massachusetts) | Primary |
Provider Name | Athletic Evolution Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346744216 PECOS PAC ID: 2163785221 Enrollment ID: O20180424002389 |
Mailing Address | Practice Location Address |
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Nathan Clarke, 64j Concord St, Wilmington, MA 01887-2179 Ph: () - | Nathan Clarke, 64j Concord St, Wilmington, MA 01887-2179 Ph: (781) 935-7701 |
Linda G Fidrocki, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 66 Concord St # B, Wilmington, MA 01887 Phone: 615-778-4066 Fax: 615-778-9114 | |
Juli Hunt, P.T., Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 Lowell St Ste 2d, Wilmington, MA 01887 Phone: 978-657-7404 Fax: 978-657-5948 | |
Dr. Brian James Macdonald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Grove Ave, Wilmington, MA 01887 Phone: 978-988-0698 | |
Nicole Senechal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Upton Dr, Wilmington, MA 01887 Phone: 978-694-1440 | |
Jessica Lynn Glover, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66b Concord St, Wilmington, MA 01887 Phone: 978-657-3826 | |
Linda Conway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 West St, Wilmington, MA 01887 Phone: 978-658-2700 |