Individual
ANDREA B O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
16 FITCHBURG ST, WATERTOWN, MA 02472-1892
(617) 957-7332
Mailing address
16 FITCHBURG ST, WATERTOWN, MA 02472-1892
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67444
BCBS OF MA
MA
Enumeration date
06/09/2007
Last updated
07/08/2007
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