Debra Anne Mistretta, PT

Pediatric Physical Therapist · Beverly, MA

Individual Active NPI

NPI number 1104052075

Practice location

111 Dodge St
Beverly, MA 01915-1827
Phone
(978) 921-1182

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NPI record

NPI
1104052075
Entity type
Individual (Type 1)
Enumeration date
June 5, 2009
Last updated
June 5, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Physical Therapist Primary 2251P0200X 5848 MA

About Debra Mistretta

Debra Anne Mistretta, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Physical Therapist (code 2251P0200X). The practice location is 111 Dodge St, Beverly, MA 01915-1827. The NPI number 1104052075 was assigned on June 5, 2009 and the record was last updated on June 5, 2009.

Debra Mistretta lists a license in the registry: #5848 (MA) for Pediatric Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra Anne Mistretta, PT?

The NPI number is 1104052075.

What is the phone number of Debra Mistretta?

The phone number listed for the practice location is (978) 921-1182.

Where is Debra Mistretta located?

111 Dodge St, Beverly, MA 01915-1827.

What is the taxonomy code for Debra Mistretta?

The primary taxonomy code is 2251P0200X – Pediatric Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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