MEDICARE: JUDITH FREEMAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1585	MA

General Provider Information

NPI Number	:	1063802510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH FREEMAN PT

Provider Business Mailing Address
First Line	:	24 DRIFTWOOD LN
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2094
Country	:	US
Telephone Number	:	508-746-1848
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 SOUTH ST
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2945
Country	:	US
Telephone Number	:	508-746-4343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2015
Last Update Date	:	02/04/2015

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Directions to “ JUDITH FREEMAN PT” Practice Location

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