Active NPIIndividual providerSole proprietor

Michael Defosse, PHYSICAL THERAPIST

Occupational Therapist in Woburn, Massachusetts

NPI Number1720309081
Practice location
444 Washington St, Woburn, MA 01801-1046
Fax
—
Last updated
June 21, 2010

Michael Defosse is an Occupational Therapist based in Woburn, MA. Michael Defosse practices in Woburn, MA and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Michael Defosse is 1720309081 and holds a License No. 8852 (MA). The current practice location address for Michael Defosse is 444 Washington St, Woburn, MA 01801-1046 and can be reached out via phone at 781-937-9777.

Provider Profile Details

NPI Number
1720309081
Provider Name
Michael Defosse
Credential
PHYSICAL THERAPIST
Provider Entity Type
Individual
Gender
Male
Address
444 Washington St, Woburn, MA 01801-1046
Phone Number
781-937-9777
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2010
Last Update Date
June 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 Washington St
Woburn, MA 01801-1046
City
Woburn
Zip
01801-1046
Phone Number
781-937-9777
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
Po Box 171599
Boston, MA 02117-3438
City
Boston
State
MA
Zip
02117-3438
Phone Number
617-699-3527

License Information

License Number
8852
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Defosse, PHYSICAL THERAPIST?

The NPI number of Michael Defosse, PHYSICAL THERAPIST is 1720309081. It was assigned on June 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Michael Defosse, PHYSICAL THERAPIST?

Michael Defosse, PHYSICAL THERAPIST is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 8852.

Where does Michael Defosse, PHYSICAL THERAPIST practice?

The practice location is 444 Washington St, Woburn, MA 01801-1046. The office can be reached at 781-937-9777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720309081 directly on the NPPES registry website.

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