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NPI Code Detail

MEDICARE: RAYANN PHYSICAL THERAPY, INC.

MEDICARE: RAYANN PHYSICAL THERAPY, INC.
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
1261QP2000XPhysical Therapy Clinic/Center6287MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y61319OTHERMABCBS

General Provider Information

NPI Number : 1881740330
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAYANN PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 140 WORCESTER ST
Second Line :
City : WEST BOYLSTON
State : MA
Zip : 01583-1716
Country : US
Telephone Number : 508-835-3273
Fax Number : 508-835-3643
Provider Business Practice Location Address
First Line : 140 WORCESTER ST
Second Line :
City : WEST BOYLSTON
State : MA
Zip : 01583-1716
Country : US
Telephone Number : 508-835-3273
Fax Number : 508-835-3643
Authorized Official
Title or Position : OWNER
Name : MS. LISA M. KNOX
Credential : P.T.
Telephone Number : 508-835-3273
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “RAYANN PHYSICAL THERAPY, INC. ” Practice Location

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