Individual
AMANDA TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2632
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21140
MA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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