Individual
CARRINA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LEWIS WHARF, BOSTON, MA 02110-3926
(617) 523-2766
Mailing address
125 LEWIS WHARF, BOSTON, MA 02110-3926
(617) 523-2766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24515
MA
Other
Enumeration date
09/18/2019
Last updated
03/26/2020
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