Provider Demographics
NPI:1982886560
Name:CARINI, GEORGE ALFRED (PTA)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ALFRED
Last Name:CARINI
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-1817
Mailing Address - Country:US
Mailing Address - Phone:617-889-4548
Mailing Address - Fax:617-889-9448
Practice Address - Street 1:248 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-1817
Practice Address - Country:US
Practice Address - Phone:617-889-4548
Practice Address - Fax:617-889-9448
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2797225200000X
RIPTA00695225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant