Doctor Name: | DR. LAUREN M WEDAM |
NPI Number: | 1811208135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 040.0066530 |
Business Practice Address: | 1629 Main St Suite 300 Chatham, MA - 026332711 |
Business Phone Number: | 5083485010 |
Business Fax Number: | 5083485013 |
Mailing Address: | 1629 Main St, Suite 300 CHATHAM |
State: | MA |
Postal Code: | 026332711 |
Phone Number: | 5083485010 |
Fax Number: | 5083485013 |
NPI Enumeration Date: | 07/01/2010 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040.0066530 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
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 |