Healthcare Provider Details

I. General information

NPI: 1457339871
Provider Name (Legal Business Name): ESSEX COUNTY REHABILITATION ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 HIGHLAND AVE
SALEM MA
01970
US

IV. Provider business mailing address

133 HIGHLAND AVE
SALEM MA
01970
US

V. Phone/Fax

Practice location:
  • Phone: 978-741-0666
  • Fax: 978-745-2706
Mailing address:
  • Phone: 978-741-0666
  • Fax: 978-745-2706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CORNELIA MURPHY
Title or Position: CEO
Credential:
Phone: 781-729-2058