Individual
AMANDA LYNN TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1101 BEACON ST, STE 5E, BROOKLINE, MA 02446-5587
(617) 232-6633
(617) 232-6832
Mailing address
1780 BEACON ST, #1, BROOKLINE, MA 02445-2030
(617) 974-2980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17393
MA
Other
Enumeration date
02/20/2006
Last updated
10/06/2011
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