| Doctor Name: | MR. KEVIN SERUS |
| NPI Number: | 1003971508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 025585 |
| Business Practice Address: | 63 S Main St Randolph, MA - 023684862 |
| Business Phone Number: | 7819619200 |
| Business Fax Number: | 7819616599 |
| Mailing Address: | 535 S Main St, RANDOLPH |
| State: | MA |
| Postal Code: | 023685261 |
| Phone Number: | 7819613370 |
| Fax Number: | 7817677531 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 025585 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |