| Organization Name: | 60 QUAKER HIGHWAY, INC. |
| NPI Number: | 1295148781 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE WOLLENSAK (OUTPATIENT DIRECTOR) |
| Mailing Address: | 60 Quaker Hwy Uxbridge |
| State: | MA US |
| Postal Code: | 015691628 |
| Phone Number: | 5082787810 |
| Fax Number: | 5082787855 |
| NPI Enumeration Date: | 06/03/2014 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 21101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |