Active NPIIndividual provider

Mary Lynn Manduca, DPT

Physical Therapist in Sudbury, Massachusetts

NPI Number1851865950
Practice location
29 Hudson RD, Sudbury, MA 01776-1757
Fax
978-579-0018
Last updated
August 13, 2021

Mary Lynn Manduca is a Physical Therapist based in Sudbury, MA. Mary Lynn Manduca practices in Sudbury, MA and has the professional credentials of DPT. The NPI Number for Mary Lynn Manduca is 1851865950 and holds a License No. 24003 (MA). The current practice location address for Mary Lynn Manduca is 29 Hudson RD, Sudbury, MA 01776-1757 and can be reached out via phone at 978-579-0009 and via fax at 978-579-0018.

Provider Profile Details

NPI Number
1851865950
Provider Name
Mary Lynn Manduca
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
29 Hudson RD, Sudbury, MA 01776-1757
Phone Number
978-579-0009
Fax Number
978-579-0018
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2019
Last Update Date
August 13, 2021
Certification Date
August 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Hudson RD
Sudbury, MA 01776-1757
Zip
01776-1757
Phone Number
978-579-0009
Fax Number
978-579-0018
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
411 Mass Ave Ste 302
Acton, MA 01720-3739
City
Acton
State
MA
Zip
01720-3739
Phone Number
978-263-0007
Fax Number
978-263-0014

License Information

License Number
24003
License State
MA
Taxonomy
Physical Therapist · 225100000X · 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 Mary Lynn Manduca, DPT?

The NPI number of Mary Lynn Manduca, DPT is 1851865950. It was assigned on January 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Mary Lynn Manduca, DPT?

Mary Lynn Manduca, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24003.

Where does Mary Lynn Manduca, DPT practice?

The practice location is 29 Hudson RD, Sudbury, MA 01776-1757. The office can be reached at 978-579-0009 (phone) or 978-579-0018 (fax).

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 1851865950 directly on the NPPES registry website.

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