Provider Demographics
NPI:1588865893
Name:SECOR, MARY CLAFFIE (PT)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CLAFFIE
Last Name:SECOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:45 CRANBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631
Mailing Address - Country:US
Mailing Address - Phone:508-255-5925
Mailing Address - Fax:
Practice Address - Street 1:525 LONG POND DRIVE
Practice Address - Street 2:SUITE 20 CAPE COD HOSPITAL REHAB CENTER AT FONTAINE MED
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645
Practice Address - Country:US
Practice Address - Phone:508-247-9750
Practice Address - Fax:508-247-9778
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8063225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist