Healthcare Provider Details

I. General information

NPI: 1699893107
Provider Name (Legal Business Name): NORA HUTTON PT, MPH, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PARKMAN ST
BOSTON MA
02114-3117
US

IV. Provider business mailing address

151 STRASSER AVE
WESTWOOD MA
02090-2027
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-5953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8233
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: