Individual
MRS. KRISTEN FERRIS WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
439 STATION AVE, SOUTH YARMOUTH, MA 02664
(508) 394-3333
Mailing address
576 BROADHOLLOW RD STE PROEX, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009751
CT
225100000X
Physical Therapist
Primary
19862
MA
Other
Enumeration date
03/07/2012
Last updated
07/19/2019
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