Mrs. Debra Anne Mistretta
Physical Therapist - Pediatrics
111 Dodge St
Beverly
, Massachusetts 01915-1827
Mrs. Debra Anne Mistretta
Physical Therapist - Pediatrics
111 Dodge St
Beverly
, Massachusetts 01915-1827
(978) 921-1182
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Debra Anne Mistretta
- 111 Dodge St
- Beverly, MA
- Zip : 01915-1827
- Phone : (978) 921-1182
Second Address
- Mrs. Debra Anne Mistretta
- 111 Dodge St
- Beverly, MA
- Zip : 01915-1827
- Phone : (978) 921-1182
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 5848 | MA |
National Provider Identifier
| NPI | 1104052075 |
|---|---|
| Provider Name | Mrs. Debra Anne Mistretta |
| First Address | Beverly, MA 01915-1827 |
| Second Address | Beverly, MA 01915-1827 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.