Revitalife Pt Llc is a primary clinic (Clinic/center) in Mendon, Massachusetts. The current practice location for Revitalife Pt Llc is 3 Pond St, Mendon, Massachusetts. For appointments, you can reach them via phone at
(774) 293-8674. The mailing address for Revitalife Pt Llc is 3 Pond St, Mendon, Massachusetts and phone number is () -.
Revitalife Pt Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1225868680. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(774) 293-8674.
Primary Care Clinic Profile
| Full Name | Revitalife Pt Llc |
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| Speciality | Clinic/center |
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| Location | 3 Pond St, Mendon, Massachusetts |
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| Authorized Official Name and Position | Mitali Mohanan (PT) |
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| Authorized Official Contact | 7742938674 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Revitalife Pt Llc
3 Pond St
Mendon
MA 01756-4500
Ph: () - | Revitalife Pt Llc
3 Pond St
Mendon
MA 01756-4500
Ph: (774) 293-8674 |
NPI Details:
| NPI Number | 1225868680 |
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| Provider Enumeration Date | 08/01/2024 |
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| Last Update Date | 08/01/2024 |
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Medical Identifiers
Medical identifiers for Revitalife Pt Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225868680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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