| Leslie Allison Axford, PT, DPT | |
|
1493 Cambridge St, Cambridge, MA 02139-1047 | |
| (617) 665-1579 | |
| Not Available |
| Full Name | Leslie Allison Axford |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1493 Cambridge St, Cambridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578076576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 23014 (Massachusetts) | Primary |
| Provider Name | Bold Coast Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912575069 PECOS PAC ID: 0941678841 Enrollment ID: O20221128001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Allison Axford, PT, DPT 40 Swantondrive, Dartmouth, NOVA SCOTIA B2W 2-C5 Ph: () - | Leslie Allison Axford, PT, DPT 1493 Cambridge St, Cambridge, MA 02139-1047 Ph: (617) 665-1579 |
Sita Anajis Agterberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Madison Riahin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 356 Third St, Cambridge, MA 02142 Phone: 401-433-4172 Fax: 401-433-0612 | |
Ms. Melissa Gayle Buffer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Massachusetts Ave Ste 7, Cambridge, MA 02139 Phone: 503-678-9806 | |
Miranda Mara Boucher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Maya Felten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 | |
Ashley Stiles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Kuangyu Xu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 |