Individual provider · NPI-1

Xin Li, D.O.

Physical Medicine & Rehabilitation · West Roxbury, MA

NPI number1255694550

StatusActive

Last updated in NPPESDec 19, 2022

Details

NPI: 1255694550
Entity type: Individual (NPI-1)
Name: Xin Li
Credential: D.O.
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 21, 2012
Certification date: Dec 19, 2022
Last updated: Dec 19, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	283324	MA	Yes
207R00000X	Internal Medicine	252001	MA
2081P0301X	Physical Medicine & Rehabilitation, Brain Injury Medicine	283324	MA
2081P0301X	Physical Medicine & Rehabilitation, Brain Injury Medicine	DO00864	RI

Practice location

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Phone 857-203-5117

Mailing address

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Phone 857-203-5117

Other practice locations

123 Summer St
Worcester, MA 01608-1216

Phone 508-363-6177

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-3643 · Fax 401-444-0007

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