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NPI Code Detail

MEDICARE: MRS. MELISSA A PARE PTA

MEDICARE: MRS. MELISSA A PARE PTA
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
1225200000XPhysical Therapy Assistant2916MA

General Provider Information

NPI Number : 1588849418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA A PARE PTA
Provider Business Mailing Address
First Line : 101 GLEN ST
Second Line :
City : WHITMAN
State : MA
Zip : 02382-1965
Country : US
Telephone Number : 781-447-9977
Fax Number :
Provider Business Practice Location Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-769-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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