Healthcare Provider Details

I. General information

NPI: 1407522634
Provider Name (Legal Business Name): ACME THERAPY HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 TURNPIKE ST STE 104
NORTH ANDOVER MA
01845-6125
US

IV. Provider business mailing address

626 PARK AVE
CRANSTON RI
02910-2154
US

V. Phone/Fax

Practice location:
  • Phone: 978-681-6605
  • Fax: 978-681-6601
Mailing address:
  • Phone: 401-200-8031
  • Fax: 401-383-9823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KAREN MARIE CAMPAGNONE
Title or Position: CLINIC MANAGER
Credential: CPC
Phone: 401-200-8031