Wilczewski, Laura Beth
Wilczewski, Laura Beth is an individual health care provider with primary practice located at 799 Concord Ave , Cambridge MA 02138-1048. 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. Wilczewski, Laura Beth can be contacted via phone (617) 864-4200.Contact Information
Primary practice address
799 Concord Ave
Cambridge MA 02138-1048
Phone: (617) 864-4200
Fax: (617) 491-7368
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8255 | Massachusetts |
Profile Details
NPI number | 1720073331 |
---|---|
LBN Legal business name | Wilczewski, Laura Beth |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Sep 19th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720073331 | NPPES |
Other | Y66795 | BCBS | |
MEDICAID | 0396851 | BCBS |
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