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NPI Code Detail

MEDICARE: NICOLE HAYNER MCSWEENEY DPT

MEDICARE:   NICOLE  HAYNER MCSWEENEY  DPT
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 TherapistPTL25424MA

General Provider Information

NPI Number : 1639754146
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE HAYNER MCSWEENEY DPT
Provider Business Mailing Address
First Line : 703 GRANITE ST STE 3
Second Line :
City : BRAINTREE
State : MA
Zip : 02184-5350
Country : US
Telephone Number : 781-961-3370
Fax Number : 781-961-1291
Provider Business Practice Location Address
First Line : 910 BOSTON TPKE STE 5
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-3396
Country : US
Telephone Number : 508-845-3500
Fax Number : 508-845-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2021
Last Update Date : 04/16/2026

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Directions to “ NICOLE HAYNER MCSWEENEY DPT” Practice Location

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