Individual
TEENA EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 LONGWOOD AVE, PT DEPT, BOSTON, MA 02115-5724
(617) 355-7212
Mailing address
300 LONGWOOD AVE, PT DEPT, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9157
MA
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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