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NPI Code Detail

MEDICARE: MS. CHELSEA TAYLOR ROBERT MSPT, OCS, CRED MDT

MEDICARE: MS. CHELSEA TAYLOR ROBERT MSPT, OCS, CRED MDT
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
12251X0800XOrthopedic Physical Therapist16922MA

General Provider Information

NPI Number : 1154395481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHELSEA TAYLOR ROBERT MSPT, OCS, CRED MDT
Provider Business Mailing Address
First Line : 39 HARDING ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-6728
Country : US
Telephone Number : 413-447-8070
Fax Number : 413-445-4918
Provider Business Practice Location Address
First Line : 740 WILLIAMS ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7463
Country : US
Telephone Number : 413-447-8070
Fax Number : 413-445-4918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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