Individual
MRS. DEBRA ANNE MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 DODGE ST, BEVERLY, MA 01915-1827
(978) 921-1182
Mailing address
111 DODGE ST, BEVERLY, MA 01915-1827
(978) 921-1182
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5848
MA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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