Formejster, Agnes
Formejster, Agnes is an individual health care provider with primary practice located at 300 Stafford St Suite 360, Springfield MA 01104-3581. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Formejster, Agnes can be contacted via phone (413) 734-8440.Contact Information
Primary practice address
300 Stafford St Suite 360
Springfield MA 01104-3581
Phone: (413) 734-8440
Fax: (413) 731-6703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3436 | Massachusetts |
Profile Details
| NPI number | 1760560627 |
|---|---|
| LBN Legal business name | Formejster, Agnes |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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