Healthcare Provider Details

I. General information

NPI: 1245982545
Provider Name (Legal Business Name): BLUE MOTION INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 BOSTON PROVIDENCE TPKE
NORWOOD MA
02062-2625
US

IV. Provider business mailing address

232 GROVE ST
WESTWOOD MA
02090-1028
US

V. Phone/Fax

Practice location:
  • Phone: 774-406-1494
  • Fax:
Mailing address:
  • Phone: 617-529-9612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARGARET LAMIR-HEGER
Title or Position: DIRECTOR
Credential: PHYSICAL THERAPIST
Phone: 617-529-3612