Individual
DANIELLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
350 MAIN ST FL 1, MALDEN, MA 02148-5089
(617) 952-6420
Mailing address
350 MAIN ST FL 1, MALDEN, MA 02148-5089
(617) 952-6420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20107
MA
Other
Enumeration date
11/02/2012
Last updated
03/20/2024
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