Provider Demographics
NPI:1710859129
Name:GOVOSTES, ELENA JOANNE
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:JOANNE
Last Name:GOVOSTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FREDERICK DR
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2226
Mailing Address - Country:US
Mailing Address - Phone:339-227-0031
Mailing Address - Fax:
Practice Address - Street 1:7 FREDERICK DR
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2226
Practice Address - Country:US
Practice Address - Phone:339-227-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL13123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist