Individual
MS. BERNADETTE WARD PRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 LONGWATER CIRCLE, NORWELL, MA 02061
(781) 659-1413
(781) 659-2139
Mailing address
37 STOCKBRIDGE RD, SCITUATE, MA 02066-4221
(781) 610-1871
(781) 659-2139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311511
—
MA
01
—
Y66608
BCBS
—
Enumeration date
07/10/2006
Last updated
05/04/2011
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