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General NPI Number Information
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NPI Number | 1922941053
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Entity Type | Organization
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Legal Business Name | EAST COAST PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 148 NEWBURYPORT TPKE
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City | ROWLEY
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State | MA
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Zip | 01969-2139
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Country | US
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Telephone | 617-209-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 11 EUREKA AVE
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City | SWAMPSCOTT
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State | MA
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Zip | 01907-1016
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Country | US
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Telephone | 781-715-5690
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPY
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Name | ETHAN ROSEN
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Credential | PT
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Telephone | 781-715-5690
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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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