Individual
MS. AMY LAURA KELLEHER NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
26 MIDDLEBURY LN, BEVERLY, MA 01915-1300
(978) 927-0907
Mailing address
26 MIDDLEBURY LANE, BEVERLY, MA 01915-3433
(978) 927-0907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705373
—
MA
Enumeration date
01/21/2006
Last updated
09/17/2008
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