Individual
KAITLYN SOWYRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319A SOUTHBRIDGE ST STE 150, AUBURN, MA 01501-2568
(508) 832-2628
Mailing address
319A SOUTHBRIDGE ST STE 150, AUBURN, MA 01501-2568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072819A
—
MA
01
—
23064
MA LICENSE
MA
Enumeration date
10/13/2017
Last updated
10/13/2017
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