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NPI Code Detail

MEDICARE: MRS. CYNTHIA MARIE BERLIED P.T.

MEDICARE: MRS. CYNTHIA MARIE BERLIED 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
1225100000XPhysical Therapist3594MA

General Provider Information

NPI Number : 1417014382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA MARIE BERLIED P.T.
Provider Business Mailing Address
First Line : 95 SCHOOL ST
Second Line :
City : ACTON
State : MA
Zip : 01720-3627
Country : US
Telephone Number : 978-263-6400
Fax Number :
Provider Business Practice Location Address
First Line : 254 BILLERICA RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-4114
Country : US
Telephone Number : 978-256-0231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CYNTHIA MARIE BERLIED P.T.” Practice Location

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