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NPI Code Detail

MEDICARE: NEIL BLUE MACINTYRE JR. PT

MEDICARE: NEIL BLUE MACINTYRE JR. 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 Therapist016294-1NY
2225100000XPhysical Therapist20807MA

General Provider Information

NPI Number : 1801894381
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL BLUE MACINTYRE JR. PT
Provider Business Mailing Address
First Line : 280 BOSTON TPKE
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2640
Country : US
Telephone Number : 508-853-4590
Fax Number : 949-756-4811
Provider Business Practice Location Address
First Line : 280 BOSTON TPKE
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2640
Country : US
Telephone Number : 508-753-7780
Fax Number : 508-753-7719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/11/2016

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Directions to “ NEIL BLUE MACINTYRE JR. PT” Practice Location

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