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General NPI Number Information
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NPI Number | 1912828765
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Entity Type | Organization
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Legal Business Name | WELLESLEY CONCIERGE PT, PLLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 47A RIVER ST STE A100
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City | WELLESLEY
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State | MA
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Zip | 02481-2018
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Country | US
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Telephone | 781-277-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 3 GRAY FARM RD
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City | LITTLETON
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State | MA
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Zip | 01460-1283
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONOR NORDENGREN
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Credential |
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Telephone | 978-495-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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