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Individual

BRENDA FRAN MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
157 UNION ST, MARLBOROUGH, MA 01752-1228
(508) 486-5900
Mailing address
21 SMITH RD, SHREWSBURY, MA 01545-4568
(508) 792-3908

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11463
MA

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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