Individual
MRS. GRETCHEN V. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPH
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 893-0897
(781) 893-5846
Mailing address
221 MASSACHUSETTS AVE, APT 804, BOSTON, MA 02115-3504
(617) 670-2815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17175
MA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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