Doctor Name: | MICHAEL SEVERO |
NPI Number: | 1275784381 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 0008306 |
Business Practice Address: | 300 Tradecenter Suite 1650 Woburn, MA - 018011883 |
Business Phone Number: | 7819352655 |
Business Fax Number: | 7819359097 |
Mailing Address: | 210 Commerce Way, Suite 120 PORTSMOUTH |
State: | NH |
Postal Code: | 038018200 |
Phone Number: | 2074392675 |
Fax Number: | 2074394965 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0008306 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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 |