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NPI Code Detail

MEDICARE: MARY ORNER DANIELSON PT

MEDICARE: MARY ORNER DANIELSON 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
1225100000XPhysical Therapist10017MA

General Provider Information

NPI Number : 1063876951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ORNER DANIELSON PT
Provider Business Mailing Address
First Line : 280 BOSTON TPKE
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2640
Country : US
Telephone Number : 508-753-7780
Fax Number : 508-753-7719
Provider Business Practice Location Address
First Line : 280 BOSTON TPKE
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2640
Country : US
Telephone Number : 508-753-7780
Fax Number : 508-753-7719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2016
Last Update Date : 04/07/2016

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Directions to “ MARY ORNER DANIELSON PT” Practice Location

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