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Individual

KARA SANDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
455 BRAYTON AVE, SOMERSET, MA 02726-2642
(508) 679-2240
Mailing address
5 ADAMS LN, BERKLEY, MA 02779-1803

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3140
MA
225200000X
Physical Therapy Assistant
PTA002301
GA
225200000X
Physical Therapy Assistant
PTA00609
RI

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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