MEDICARE: MS. MARGUERITE RIPLEY D.P.T.

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	22449	MA

General Provider Information

NPI Number	:	1215484035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGUERITE RIPLEY D.P.T.

Provider Business Mailing Address
First Line	:	2377 BOSTON RD
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1254
Country	:	US
Telephone Number	:	413-596-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2377 BOSTON RD
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1254
Country	:	US
Telephone Number	:	413-596-2424
Fax Number	:

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

Provider Enumeration Date	:	09/09/2016
Last Update Date	:	04/02/2020

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