Individual
HADWIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
940 BELMONT ST BLDG 4, BROCKTON, MA 02301-5596
(774) 826-2890
Mailing address
916 DORCHESTER AVE APT 1, BOSTON, MA 02125-3680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL88578
MA
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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