Basic Information
| Provider Information | |||||||||
| NPI: | 1811441298 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALFONSO | ||||||||
| FirstName: | FRANCESCA | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 CREDIT UNION WAY | ||||||||
| Address2: | |||||||||
| City: | RANDOLPH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023684633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7819613370 | ||||||||
| FaxNumber: | 7819611291 | ||||||||
| Practice Location | |||||||||
| Address1: | 22 MILL ST STE 406 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024764744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7816468440 | ||||||||
| FaxNumber: | 7816437542 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2016 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 22597 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 110119149A | 05 | MA | MEDICAID | 4829526 | 01 | MA | AETNA | OTHER | 94831301 | 01 | MA | NETWORK HEALTH | OTHER | 1811441298 | 01 | MA | TUFTS, SENIOR WHOLE HEALTH, TRICARE-HEALTHNET FEDERAL SERVICES, NHP, FALLON, BMC | OTHER |