Individual
CJ MIMEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 ADAMS ST, MILTON, MA 02186-0218
(617) 696-8141
Mailing address
480 ADAMS ST, MILTON, MA 02186-4914
(617) 696-8141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23474
MA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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