MEDICARE: MILTON CHIRO AND REHAB 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
1	225100000X	Physical Therapist	213	MA

General Provider Information

NPI Number	:	1619134749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILTON CHIRO AND REHAB INC

Provider Business Mailing Address
First Line	:	111 WILLARD ST
Second Line	:	SUITE GA
City	:	QUINCY
State	:	MA
Zip	:	02169-1200
Country	:	US
Telephone Number	:	617-471-5053
Fax Number	:	617-984-0636

Provider Business Practice Location Address
First Line	:	1095 WASHINGTON ST
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-7944
Country	:	US
Telephone Number	:	508-761-9000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN M WINDWER
Credential	:	PT, DC
Telephone Number	:	617-471-4491

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/16/2008

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