Individual
KATHERINE SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
23 JEFFREY CIR, BEDFORD, MA 01730-1553
(617) 921-8309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18764
MA
Other
Enumeration date
09/14/2009
Last updated
10/14/2014
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