MEDICARE: PHYLLIS CLAPIS 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
1	2251X0800X	Orthopedic Physical Therapist	5197	MA

General Provider Information

NPI Number	:	1114110822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLLIS CLAPIS PT

Provider Business Mailing Address
First Line	:	18 NORTH LN
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-3525
Country	:	US
Telephone Number	:	413-205-3222
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 NORTH LN
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-3525
Country	:	US
Telephone Number	:	413-205-3222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2007
Last Update Date	:	08/26/2007

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Directions to “ PHYLLIS CLAPIS PT” Practice Location

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