Individual
MACKENZIE KATHERINE SYRON LAROVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(774) 201-9646
Mailing address
64 JILLIAN WAY, WESTPORT, MA 02790-4229
(774) 201-9646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26002
MA
Other
Enumeration date
02/15/2022
Last updated
10/15/2025
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