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NPI Code Detail

MEDICARE: KATHLEEN DAGGETT PT

MEDICARE: KATHLEEN DAGGETT 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
1225100000XPhysical Therapist9800MA

General Provider Information

NPI Number : 1255384699
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN DAGGETT PT
Provider Business Mailing Address
First Line : 1 CREDIT UNION WAY FL 3
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-4633
Country : US
Telephone Number : 781-961-3370
Fax Number : 781-961-1291
Provider Business Practice Location Address
First Line : 360 BROCKTON AVE
Second Line :
City : ABINGTON
State : MA
Zip : 02351-2186
Country : US
Telephone Number : 781-878-5550
Fax Number : 781-878-5472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/24/2017

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Directions to “ KATHLEEN DAGGETT PT” Practice Location

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