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NPI Code Detail

MEDICARE: KRISTEN JOAN PARE DPT MS

MEDICARE: KRISTEN JOAN PARE DPT MS
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
1174400000XSpecialist7606MA

General Provider Information

NPI Number : 1952577132
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN JOAN PARE DPT MS
Provider Business Mailing Address
First Line : 40 ASBURY ST
Second Line :
City : SOUTH HAMILTON
State : MA
Zip : 01982
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 ASBURY ST
Second Line :
City : SOUTH HAMILTON
State : MA
Zip : 01982-1808
Country : US
Telephone Number : 617-269-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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Directions to “ KRISTEN JOAN PARE DPT MS” Practice Location

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