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Individual

NANCY HOULIHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
170 COREY RD, BRIGHTON, MA 02135-8244
(617) 383-6624
Mailing address
PO BOX 471013, BROOKLINE VILLAGE, MA 02447-1013
(617) 879-3280

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
3120
MA
225200000X
Physical Therapy Assistant
Primary
8350
MA

Other

Enumeration date
10/23/2009
Last updated
10/27/2009
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