MEDICARE: CATHERINE BARRY MS PT OCS

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	174400000X	Specialist	5480	MA

General Provider Information

NPI Number	:	1831516111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE BARRY MS PT OCS

Provider Business Mailing Address
First Line	:	271 MERRIAM ST
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1822
Country	:	US
Telephone Number	:	617-697-6978
Fax Number	:

Provider Business Practice Location Address
First Line	:	271 MERRIAM ST
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1822
Country	:	US
Telephone Number	:	617-697-6978
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	03/24/2014

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