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NPI Code Detail

MEDICARE: ALISON CARR PT

MEDICARE: ALISON CARR 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 Therapist22568MA

General Provider Information

NPI Number : 1295233914
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON CARR PT
Provider Business Mailing Address
First Line : 36 BELLEVUE AVE APT 1
Second Line :
City : WINTHROP
State : MA
Zip : 02152-2203
Country : US
Telephone Number : 781-439-2539
Fax Number :
Provider Business Practice Location Address
First Line : 111 ORIENT AVE
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-1006
Country : US
Telephone Number : 617-569-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2018
Last Update Date : 03/17/2018

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Directions to “ ALISON CARR PT” Practice Location

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