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NPI Code Detail

MEDICARE: DARCEY RICE PTA

MEDICARE: DARCEY RICE PTA
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
1225200000XPhysical Therapy Assistant7963MA

General Provider Information

NPI Number : 1871614495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCEY RICE PTA
Provider Business Mailing Address
First Line : 9 WAMPUS AVE APT 2
Second Line :
City : ACTON
State : MA
Zip : 01720-4811
Country : US
Telephone Number : 978-443-9000
Fax Number :
Provider Business Practice Location Address
First Line : 642 BOSTON POST RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-3302
Country : US
Telephone Number : 978-443-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ DARCEY RICE PTA” Practice Location

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