Individual
MR. FRED MITCHELL STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8 WESCOTT RD, ANDOVER, MA 01810-2840
(978) 475-1019
Mailing address
8 WESCOTT RD, ANDOVER, MA 01810-2840
(978) 475-1019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
51
MA
225100000X
Physical Therapist
3012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012
PHYSICAL THERAPY LICENSE
MA
Enumeration date
04/18/2007
Last updated
06/19/2009
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