Individual
LAURIE VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 MACARTHUR BLVD, BOURNE, MA 02532-3902
(508) 759-8880
Mailing address
PO BOX 371, SAGAMORE, MA 02561-0371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10964
MA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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