Individual
MRS. DIANE ELISE MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 FRANKLIN ST, MELROSE, MA 02176-1821
(781) 665-0764
Mailing address
92 FRANKLIN ST, MELROSE, MA 02176-1821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
880
MA
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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