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NPI Code Detail

MEDICARE: KARA PALLESCHI PT

MEDICARE: KARA PALLESCHI 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 Therapist16621MA

General Provider Information

NPI Number : 1407872450
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA PALLESCHI PT
Provider Business Mailing Address
First Line : 63 S MAIN ST
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-4820
Country : US
Telephone Number : 781-961-9200
Fax Number : 781-961-6599
Provider Business Practice Location Address
First Line : 75 FINNELL DR
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-1110
Country : US
Telephone Number : 781-335-1151
Fax Number : 781-335-7851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ KARA PALLESCHI PT” Practice Location

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