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NPI Code Detail

MEDICARE: MRS. TARA A COLORIO PT

MEDICARE: MRS. TARA A COLORIO PT
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 Therapist13321MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2469963OTHERMATUFTS
3FALLONOTHERMA45509
4Y67719OTHERMABLUE SHIELD

General Provider Information

NPI Number : 1801868831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA A COLORIO PT
Provider Business Mailing Address
First Line : 14 BORDER AVE
Second Line :
City : MILLBURY
State : MA
Zip : 01527-1534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 319A SOUTHBRIDGE ST
Second Line :
City : AUBURN
State : MA
Zip : 01501-2598
Country : US
Telephone Number : 508-832-2628
Fax Number : 508-832-7824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 02/27/2008

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Directions to “ MRS. TARA A COLORIO PT” Practice Location

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