MEDICARE: T&CM LLC

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

General Provider Information

NPI Number	:	1356032379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&CM LLC

Provider Business Mailing Address
First Line	:	16 RODMAN ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-7605
Country	:	US
Telephone Number	:	917-916-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 WINTER ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-3367
Country	:	US
Telephone Number	:	781-909-3928
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TERRENCE ZHEN QUAN YE
Credential	:
Telephone Number	:	781-909-3928

Provider Enumeration Date	:	05/19/2023
Last Update Date	:	05/19/2023

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Directions to “T&CM LLC ” Practice Location

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