Provider Demographics
NPI:1588858963
Name:WARNER, PAUL E (MPT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:WARNER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:263 LOUDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-9700
Mailing Address - Country:US
Mailing Address - Phone:413-579-2831
Mailing Address - Fax:413-341-8629
Practice Address - Street 1:45 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1447
Practice Address - Country:US
Practice Address - Phone:413-579-2831
Practice Address - Fax:413-341-8629
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2020-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA17842225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist