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NPI Code Detail

MEDICARE: NICHOLAS JOSEPH PASTIER DPT

MEDICARE: NICHOLAS JOSEPH PASTIER DPT
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 Therapist25823MA

General Provider Information

NPI Number : 1497418479
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS JOSEPH PASTIER DPT
Provider Business Mailing Address
First Line : 12 WOODLAND DR
Second Line :
City : OXFORD
State : MA
Zip : 01540-1548
Country : US
Telephone Number : 508-762-6693
Fax Number :
Provider Business Practice Location Address
First Line : 900 LAFAYETTE ST STE 105
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4966
Country : US
Telephone Number : 408-293-7794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/18/2021

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Directions to “ NICHOLAS JOSEPH PASTIER DPT” Practice Location

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