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Individual

MARGARET ANN LONGWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
215 THATCHER ST, BROCKTON, MA 02302-3949
(508) 583-5834
Mailing address
585 SUMNER ST, STOUGHTON, MA 02072-3468
(781) 413-1378

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3569
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3569
PROFESSIONAL LICENSURE
MA
Enumeration date
09/06/2018
Last updated
09/06/2018
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