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NPI Code Detail

MEDICARE: YALING LAI SHEN PT,DPT,MS

MEDICARE: YALING LAI SHEN PT,DPT,MS
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 Therapist15434MA
2225100000XPhysical Therapist33021CA
3225100000XPhysical Therapist021888-1NY

General Provider Information

NPI Number : 1508988783
Entity Type Code : Individual
Provider Name (Legal Business Name) : YALING LAI SHEN PT,DPT,MS
Provider Business Mailing Address
First Line : 48 GLEN ROCK AVE
Second Line :
City : MALDEN
State : MA
Zip : 02148-1311
Country : US
Telephone Number : 781-321-4702
Fax Number :
Provider Business Practice Location Address
First Line : 70 FULTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02109-1402
Country : US
Telephone Number : 617-726-9725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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