Basic Information
| Provider Information | |||||||||
| NPI: | 1689778862 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIFRANCESCO | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | DPT PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 BEVERLY COMMONS DRIVE | ||||||||
| Address2: | ESSEX HOUSE APT 21 | ||||||||
| City: | BEVERLY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9789272087 | ||||||||
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| Practice Location | |||||||||
| Address1: | 173 ESSEX STREET | ||||||||
| Address2: | |||||||||
| City: | SWAMPSCOTT | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815860550 | ||||||||
| FaxNumber: | 7815860125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 17652 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.