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Individual
MARTHA ANNE HENRY-MACDONALD
Active
Individual
MARTHA ANNE HENRY-MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
766109
TUFTS HEALTH PLAN
MA
01
—
Y66045
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
01/06/2007
Last updated
07/08/2007
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