Individual
KATE LYN OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHURCHILLS LN, MILTON, MA 02186-4016
(617) 448-6645
Mailing address
202 CHURCHILLS LN, MILTON, MA 02186-4016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9546
MA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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