Basic Information
| Provider Information | |||||||||
| NPI: | 1205858370 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURTIS | ||||||||
| FirstName: | DOROTHY | ||||||||
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| Credential: | RPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 HANDY ST | ||||||||
| Address2: | |||||||||
| City: | ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027035820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082261217 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1095 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027037944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087619000 | ||||||||
| FaxNumber: | 5087619111 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 3886 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PT01055 | RI | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 0000031306 | 01 | MA | BCBSRI | OTHER | 402660 | 01 | MA | BCBSRI BLUE CHIP | OTHER |