Individual
MS. KATHARINE TEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BPHTY
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
8 WALDO AVE, APT 2, SOMERVILLE, MA 02143-4319
(978) 836-1143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17611
MA
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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