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NPI Code Detail

MEDICARE: MARY CASSIDY CONWAY PHYSICAL THERAPIST

MEDICARE: MARY CASSIDY CONWAY PHYSICAL THERAPIST
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 Therapist8782MA

General Provider Information

NPI Number : 1629618202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CASSIDY CONWAY PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 528 ANDOVER ST
Second Line :
City : LOWELL
State : MA
Zip : 01852-1413
Country : US
Telephone Number : 978-501-0104
Fax Number :
Provider Business Practice Location Address
First Line : 126 PHOENIX AVE
Second Line :
City : LOWELL
State : MA
Zip : 01852-4991
Country : US
Telephone Number : 978-453-8331
Fax Number : 978-455-3925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 01/10/2020

Similar Medicare Providers

1457509440 — LYNDSAY N KILGOUR LCSW
Practice Location Address:
126 PHOENIX AVE
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax:
1730739400 — KRISTIN LYNN GIROUX
Practice Location Address:
126 PHOENIX AVE STE 2
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax:
1194363267 — MS. ELIZABETH C CONNER NP, RN
Practice Location Address:
126 PHOENIX AVE
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax: 978-453-9254
1326687146 — MOLLY ANN TIBBETTS
Practice Location Address:
126 PHOENIX AVE
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax:
1750921300 — ANNEKE MARIE BALL
Practice Location Address:
126 PHOENIX AVE
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax:
1437766706 — NATALIA MAGBE VARGAS SANCHEZ REGISTERED NURSE
Practice Location Address:
126 PHOENIX AVE
LOWELL, MA
01852-4991
Practice Phone: 978-453-8331
Practice Fax:

Directions to “ MARY CASSIDY CONWAY PHYSICAL THERAPIST” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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