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NPI Code Detail

MEDICARE: PETER STONE PT

MEDICARE:   PETER  STONE  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2998MA

General Provider Information

NPI Number : 1013990894
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER STONE PT
Provider Business Mailing Address
First Line : 235 CYPRESS ST
Second Line : STE 100
City : BROOKLINE
State : MA
Zip : 02445-6776
Country : US
Telephone Number : 781-383-8767
Fax Number : 781-383-8687
Provider Business Practice Location Address
First Line : 235 CYPRESS ST
Second Line : STE 100
City : BROOKLINE
State : MA
Zip : 02445-6776
Country : US
Telephone Number : 781-383-8767
Fax Number : 781-383-8687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 01/26/2012

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Directions to “ PETER STONE PT” Practice Location

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