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NPI Code Detail

MEDICARE: GREAT BARRINGTON PHYSICAL THERAPY, INC.

MEDICARE: GREAT BARRINGTON PHYSICAL THERAPY, INC.
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 Therapist

General Provider Information

NPI Number : 1548558448
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT BARRINGTON PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 789 MAIN ST
Second Line : SUITE 4
City : GREAT BARRINGTON
State : MA
Zip : 01230-2217
Country : US
Telephone Number : 413-528-0929
Fax Number : 413-528-6123
Provider Business Practice Location Address
First Line : 789 MAIN ST
Second Line : SUITE 4
City : GREAT BARRINGTON
State : MA
Zip : 01230-2217
Country : US
Telephone Number : 413-528-0929
Fax Number : 413-528-6123
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. DEBORAH J KAIN
Credential :
Telephone Number : 413-528-0929
Provider Enumeration Date : 07/13/2011
Last Update Date : 10/16/2012

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Directions to “GREAT BARRINGTON PHYSICAL THERAPY, INC. ” Practice Location

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