Individual
LAURA K TIKONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 PARKMAN ST, ACC 134, BOSTON, MA 02114-3117
(617) 726-3023
Mailing address
123 ORCHARD ST, APT. 1, SOMERVILLE, MA 02144-3038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17533
MA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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