Individual
KATHRYN BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
31A JACKSON STREET, NEWTON, MA 02459
(617) 916-2653
(617) 507-6415
Mailing address
110 JACKSON ST, NEWTON, MA 02459-2538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6768
MA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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