MEDICARE: BETH WELCH 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
1	225100000X	Physical Therapist	15758	MA

General Provider Information

NPI Number	:	1508949678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH WELCH PT

Provider Business Mailing Address
First Line	:	1 CREDIT UNION WAY FL3
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	:	118 LONG POND RD STE 205
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-591-8352
Fax Number	:	508-927-4242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	10/09/2018

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Directions to “ BETH WELCH PT” Practice Location

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