Individual
MRS. KRISTINE RUTH TOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
200 PROVIDENCE HWY, DEDNAM, MA 02062
(781) 326-8332
(781) 326-8262
Mailing address
10 MAPLE ST, NORWOOD, MA 02026
(617) 512-0793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68117
TUFTS
MA
01
—
Y68217
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/14/2006
Last updated
07/08/2007
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