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NPI Code Detail

MEDICARE: ADAM LIPTAK DPT

MEDICARE:   ADAM  LIPTAK  DPT
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 TherapistPTL26988MA

General Provider Information

NPI Number : 1205619269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM LIPTAK DPT
Provider Business Mailing Address
First Line : 164 STRATHMORE RD
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-5224
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 BEACON ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-2270
Country : US
Telephone Number : 617-505-6742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/15/2023

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Directions to “ ADAM LIPTAK DPT” Practice Location

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