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NPI Code Detail

MEDICARE: ERIN LOONEY MSPT

MEDICARE:   ERIN  LOONEY  MSPT
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 Therapist17733MA

General Provider Information

NPI Number : 1528120888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LOONEY MSPT
Provider Business Mailing Address
First Line : 1 BRAINTREE ST ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1956
Country : US
Telephone Number : 617-623-6300
Fax Number : 617-623-4224
Provider Business Practice Location Address
First Line : 1 BRAINTREE ST ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1956
Country : US
Telephone Number : 617-623-6300
Fax Number : 617-623-4224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 01/24/2011

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Directions to “ ERIN LOONEY MSPT” Practice Location

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