Provider Demographics
NPI:1619709862
Name:VIEIRA, CHLOE (DPT/PT)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:VIEIRA
Suffix:
Gender:F
Credentials:DPT/PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 MAIN ST APT 114
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5127
Mailing Address - Country:US
Mailing Address - Phone:803-367-3500
Mailing Address - Fax:
Practice Address - Street 1:200 UNICORN PARK DR
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3324
Practice Address - Country:US
Practice Address - Phone:781-782-1300
Practice Address - Fax:781-933-5684
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist