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NPI Code Detail

MEDICARE: NANCY MARIE GANAS PT

MEDICARE: NANCY MARIE GANAS PT
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 Therapist4534MA

General Provider Information

NPI Number : 1629228457
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY MARIE GANAS PT
Provider Business Mailing Address
First Line : 22 STOCKWELL FARM RD
Second Line :
City : NORTH GRAFTON
State : MA
Zip : 01536-1908
Country : US
Telephone Number : 508-839-0615
Fax Number :
Provider Business Practice Location Address
First Line : GOLDEN POND
Second Line : 50 W MAIN ST
City : HOPKINTON
State : MA
Zip : 01748-1672
Country : US
Telephone Number : 508-435-0120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 09/29/2008

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Directions to “ NANCY MARIE GANAS PT” Practice Location

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