Sweet, Concetta Phyllis

Sweet, Concetta Phyllis is an sole proprietor health care provider with primary practice located at 14 Donna Dr , Tewksbury MA 01876-3718. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sweet, Concetta Phyllis can be contacted via phone (978) 851-6126.

Contact Information

Primary practice address
14 Donna Dr Tewksbury MA 01876-3718
Phone: (978) 851-6126
Fax: (978) 858-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2409 Massachusetts

Profile Details

NPI number 1114913118
LBN Legal business name Sweet, Concetta Phyllis
Credentials PT, CPUR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated Nov 8th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114913118 NPPES
Massachusetts MEDICAID 0385603
Massachusetts Other Y66632

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