Doctor Name: | AMY ELIZABETH HAVER |
NPI Number: | 1144651548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 20683 |
Business Practice Address: | 221 Boston Post Rd E East Suite 150 Marlborough, MA - 017523527 |
Business Phone Number: | 5086240304 |
Business Fax Number: | |
Mailing Address: | 221 Boston Post Rd E, East Suite 150 MARLBOROUGH |
State: | MA |
Postal Code: | 017523527 |
Phone Number: | 5086240304 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 20683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |