Individual
MRS. TINAMARIE FEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
501 JOHN MAHAR HWY, BRAINTREE, MA 02184-6599
(781) 356-1016
Mailing address
21 MAITLAND AVE, RANDOLPH, MA 02368-3209
(781) 961-6629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3300
MA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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