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NPI Code Detail

MEDICARE: MR. DENIS ANDREOTTI

MEDICARE: MR. DENIS ANDREOTTI
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 Therapist11409MA

General Provider Information

NPI Number : 1649506841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENIS ANDREOTTI
Provider Business Mailing Address
First Line : 50 W MAIN ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1672
Country : US
Telephone Number : 508-435-0120
Fax Number :
Provider Business Practice Location Address
First Line : 50 W MAIN ST
Second Line :
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 : 10/22/2009
Last Update Date : 10/22/2009

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Directions to “ MR. DENIS ANDREOTTI ” Practice Location

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