Doctor Name: | KELLY DUGGAN |
NPI Number: | 1205277308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18563 |
Business Practice Address: | 985 Pleasant St Unit 2 Bridgewater, MA - 023242329 |
Business Phone Number: | 5086972000 |
Business Fax Number: | 5086972002 |
Mailing Address: | 985 Pleasant St, Unit 2 BRIDGEWATER |
State: | MA |
Postal Code: | 023242329 |
Phone Number: | 5086972000 |
Fax Number: | 5086972002 |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |