Individual
LYENA BURACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 COMMERCIAL ST, BRAINTREE, MA 02184-4301
(617) 821-2458
Mailing address
95 COMMERCIAL ST, BRAINTREE, MA 02184-4301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3628
MA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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