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NPI Code Detail

MEDICARE: MRS. AIMEE L PIETSCH PT

MEDICARE: MRS. AIMEE L PIETSCH 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 Therapist17213MA
2225100000XPhysical Therapist
3225100000XPhysical TherapistPT3081ME

General Provider Information

NPI Number : 1477525889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AIMEE L PIETSCH PT
Provider Business Mailing Address
First Line : 55 CAMBRIDGE ST
Second Line :
City : BURLINGTON
State : MA
Zip : 01803
Country : US
Telephone Number : 978-452-3453
Fax Number : 978-452-2652
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3175
Country : US
Telephone Number : 207-662-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 06/26/2019

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