MEDICARE: MR. TERRENCE ZHEN QUAN YE P.T.

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	225100000X	Physical Therapist	18719	MA

General Provider Information

NPI Number	:	1952531253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRENCE ZHEN QUAN YE P.T.

Provider Business Mailing Address
First Line	:	49 WINTER ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-3367
Country	:	US
Telephone Number	:	781-909-3928
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 WINTER ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-3367
Country	:	US
Telephone Number	:	781-909-3928
Fax Number	:

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

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	07/20/2022

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