Healthcare Provider Details

I. General information

NPI: 1316928963
Provider Name (Legal Business Name): MICHAEL BRITTON PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-1391
US

IV. Provider business mailing address

223 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-1391
US

V. Phone/Fax

Practice location:
  • Phone: 781-383-8767
  • Fax: 781-383-8687
Mailing address:
  • Phone: 781-383-8767
  • Fax: 781-383-8687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3378
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: