MEDICARE: MARGIT PORSHOLT SVANES P.T.

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	225100000X	Physical Therapist	3470	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	608626	OTHER	MA	HARVARD PILGRIM
2	0000Y65154	OTHER	MA	BLUE CROSS BLUE SHIELD
3	707126	OTHER	MA	TUFTS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184751679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGIT PORSHOLT SVANES P.T.

Provider Business Mailing Address
First Line	:	19 MUZZEY ST
Second Line	:	SUITE 309
City	:	LEXINGTON
State	:	MA
Zip	:	02421-5256
Country	:	US
Telephone Number	:	781-862-7460
Fax Number	:	781-862-4420

Provider Business Practice Location Address
First Line	:	19 MUZZEY ST
Second Line	:	SUITE 309
City	:	LEXINGTON
State	:	MA
Zip	:	02421-5256
Country	:	US
Telephone Number	:	781-862-7460
Fax Number	:	781-862-4420

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/29/2008

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