Individual
KELLY MEAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 JADE DR, RAYNHAM, MA 02767-1362
(508) 824-1467
Mailing address
29 JADE DR, RAYNHAM, MA 02767-1362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8732
MA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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