NPI Code Details Logo

NPI 1881557148

NPI 1881557148 : PIERRE-ANDRE KESLY PASCAL DPT : BEDFORD, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1881557148
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PIERRE-ANDRE KESLY PASCAL DPT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/04/2025
-----------------------------------------------------
    Last Update Date     |    12/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    54 MIDDLESEX TPKE STE 101L 
-----------------------------------------------------
    City                 |    BEDFORD
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01730-1417
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    781-229-8011
-----------------------------------------------------
    Fax                  |    781-229-8374
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    54 MIDDLESEX TPKE STE 101L 
-----------------------------------------------------
    City                 |    BEDFORD
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01730-1417
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    781-229-8011
-----------------------------------------------------
    Fax                  |    781-229-8374
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    28096
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.