Basic Information
| Provider Information | |||||||||
| NPI: | 1518289768 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARE | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FIORES | ||||||||
| OtherFirstName: | CHRISTINA | ||||||||
| OtherMiddleName: | J | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 101 CAMBRIDGE ST | ||||||||
| Address2: | C/O ORTHOPAEDICS PLUS | ||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018033766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812298011 | ||||||||
| FaxNumber: | 7812298374 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 CAMBRIDGE ST | ||||||||
| Address2: | C/O ORTHOPAEDICS PLUS | ||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018033766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812298011 | ||||||||
| FaxNumber: | 7812298374 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2010 | ||||||||
| LastUpdateDate: | 02/15/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5595 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.