Campbell, Regina

Campbell, Regina is an individual health care provider with primary practice located at 1093 Beacon St Basement Suite, Brookline MA 02446. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Campbell, Regina can be contacted via phone (617) 277-1500.

Contact Information

Primary practice address
1093 Beacon St Basement Suite Brookline MA 02446
Phone: (617) 277-1500
Fax: (617) 277-1503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4860 Massachusetts

Profile Details

NPI number 1770553778
LBN Legal business name Campbell, Regina
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770553778 NPPES
Massachusetts Other Y65768 BCBS

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