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NPI Code Detail

MEDICARE: ALTHEA B STANISLAUS II

MEDICARE: ALTHEA B STANISLAUS II
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 Therapist18741MA

General Provider Information

NPI Number : 1205089836
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALTHEA B STANISLAUS II
Provider Business Mailing Address
First Line : 2 WASHINGTON ST
Second Line :
City : MELROSE
State : MA
Zip : 02176-6055
Country : US
Telephone Number : 781-321-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2 WASHINGTON ST
Second Line :
City : MELROSE
State : MA
Zip : 02176-6055
Country : US
Telephone Number : 781-321-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 12/19/2025

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Directions to “ ALTHEA B STANISLAUS II ” Practice Location

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