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General NPI Number Information
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NPI Number | 1144186065
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Entity Type | Organization
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Legal Business Name | UNION SQUARE PHYSICAL THERAPY LLC.
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 454 SALEM ST
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City | MEDFORD
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State | MA
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Zip | 02155-3343
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Country | US
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Telephone | 860-899-9652
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Fax |
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Provider Business Mailing Address
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Address Line | 454 SALEM ST
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City | MEDFORD
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State | MA
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Zip | 02155-3343
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Country | US
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Telephone | 860-899-9652
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY, FOUNDER
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Name | DR. MAEGEN BRADY DELEO
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Credential | DPT
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Telephone | 860-899-9652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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