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NPI Code Detail

MEDICARE: KATHYRN CHABOT PT

MEDICARE: KATHYRN CHABOT 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 Therapist19122MA

General Provider Information

NPI Number : 1336453943
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHYRN CHABOT PT
Provider Business Mailing Address
First Line : 250 E MAIN ST
Second Line :
City : NORTON
State : MA
Zip : 02766-2436
Country : US
Telephone Number : 508-285-5533
Fax Number : 508-285-7977
Provider Business Practice Location Address
First Line : 99 VANDERBILT AVE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5011
Country : US
Telephone Number : 781-352-5400
Fax Number : 781-352-5401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2010
Last Update Date : 08/06/2010

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