Individual
CORINNE MICHELLE FAIRWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7 TRINITY DR, MILFORD, MA 01757-1821
(508) 478-2444
Mailing address
7 TRINITY DR, MILFORD, MA 01757-1821
(508) 478-2444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.017015
IL
225100000X
Physical Therapist
10149
CO
225100000X
Physical Therapist
1188240
TX
225100000X
Physical Therapist
Primary
16966
MA
225100000X
Physical Therapist
34003
CA
225100000X
Physical Therapist
8377
AZ
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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