| Essex Chiropractic & Physical Therapy, Llc | |
|
16 Haverhill St, Andover, MA 01810-3002 | |
| (978) 470-1499 | |
| Not Available |
| Full Name | Essex Chiropractic & Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 16 Haverhill St, Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245469477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael L Provenzano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225157423 PECOS PAC ID: 5799795274 Enrollment ID: I20071009000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Chiropractic & Physical Therapy, Llc 16 Haverhill St, Andover, MA 01810-3002 Ph: (978) 470-1499 | Essex Chiropractic & Physical Therapy, Llc 16 Haverhill St, Andover, MA 01810-3002 Ph: (978) 470-1499 |
Mrs. Roxann E. Nickerson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Hampton Ln, Andover, MA 01810 Phone: 978-475-4450 | |
Ms. Donna Bogdan Cordova, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Lowell St, Andover, MA 01810 Phone: 978-475-4056 Fax: 978-475-4046 | |
Victoria Taylor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Brickstone Sq, Andover, MA 01810 Phone: 978-247-7500 | |
Mr. Fred Mitchell Stern, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Wescott Rd, Andover, MA 01810 Phone: 978-475-1019 | |
Cherie Mars, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Brickstone Sq, Andover, MA 01810 Phone: 617-383-6624 | |
Nicole Collette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Osgood St, Andover, MA 01810 Phone: 978-475-3806 | |
Julia Hayes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Osgood St, Andover, MA 01810 Phone: 978-475-3806 |