Susan D. Tack, PT

NPI #1477731610 in Holden, Massachusetts

Provider Information

NPI Number: 1477731610
Entity Type: Individual
Name: Susan D. Tack, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 8, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 800 MAIN ST
Address 2: UNIT 9
City: Holden
State: Massachusetts
ZIP Code: 01520-1838
Phone: (508) 829-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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