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Individual

DR. ELISE LAYTON TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, PHD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2961
Mailing address
671 TREMONT ST APT 5, BOSTON, MA 02118-1251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17296
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0053327
EMPLOYEE ID
MA
Enumeration date
02/22/2007
Last updated
07/08/2007
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