| Lakeville Physical Therapy Inc | |
|
155 Millennium Cir, Suite 114, Lakeville, MA 02347 | |
| (508) 947-3004 | |
| (508) 923-6008 |
| Full Name | Lakeville Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 155 Millennium Cir, Lakeville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497951594 | NPI | - | NPPES |
| AA20786 | Other | MA | HPHC |
| 9739190 | Medicaid | MA | |
| Y61391 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5869 (Massachusetts) | Primary |
| Provider Name | Stephen G Gouveia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154479582 PECOS PAC ID: 8820063860 Enrollment ID: I20040901000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Physical Therapy Inc 155 Millennium Cir, Suite 114, Lakeville, MA 02347 Ph: (508) 947-3004 | Lakeville Physical Therapy Inc 155 Millennium Cir, Suite 114, Lakeville, MA 02347 Ph: (508) 947-3004 |
Stephen Givinal Gouveia, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Millenium Dr, Lakeville Physical Therapy Inc Suite 114, Lakeville, MA 02347 Phone: 508-947-3004 Fax: 508-923-6008 | |
Joanna S Briody, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Rhode Island Rd, Shriver, Lakeville, MA 02347 Phone: 508-923-6032 Fax: 508-923-6361 |