Healthcare Provider Details

I. General information

NPI: 1184333791
Provider Name (Legal Business Name): ORTHOPEDICS NEW ENGLAND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 SPEEN ST
NATICK MA
01760-1538
US

IV. Provider business mailing address

313 SPEEN ST
NATICK MA
01760-1538
US

V. Phone/Fax

Practice location:
  • Phone: 508-720-3630
  • Fax:
Mailing address:
  • Phone: 508-720-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALICE GUERINO
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 508-720-3630