MEDICARE: AMANDA ELLEN FINN HOLMES P.T.

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	174400000X	Specialist	15353	MA

General Provider Information

NPI Number	:	1528218682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ELLEN FINN HOLMES P.T.

Provider Business Mailing Address
First Line	:	13 PAULSON DR
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2819
Country	:	US
Telephone Number	:	617-999-3686
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 RESEARCH PL STE 220
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-2455
Country	:	US
Telephone Number	:	978-459-6737
Fax Number	:

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

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	10/30/2018

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