Provider Demographics
NPI:1215278262
Name:MDF THERAPIES, LLC
Entity type:Organization
Organization Name:MDF THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:DELUKE
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:978-578-0429
Mailing Address - Street 1:307 JOE MANNING RD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05772-9807
Mailing Address - Country:US
Mailing Address - Phone:978-578-0429
Mailing Address - Fax:
Practice Address - Street 1:307 JOE MANNING RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:VT
Practice Address - Zip Code:05772-9807
Practice Address - Country:US
Practice Address - Phone:978-578-0429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072.0081359261QR0400X
MA9796261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation