Individual
MRS. ASHLEY ELIZABETH MOGABGAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2101 WASHINGTON ST, NEWTON, MA 02462-1519
(617) 831-2753
Mailing address
108 SEWALL AVE, APT #1, BROOKLINE, MA 02446-5361
(617) 383-5372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1159046
TX
225100000X
Physical Therapist
Primary
17565
MA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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