Individual
MRS. ALLISON FONTAINE HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9 POPE ST, NEW BEDFORD, MA 02740-5425
(508) 997-3358
Mailing address
30 MAITLAND ST, NEW BEDFORD, MA 02740-4508
(774) 202-1839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129
MA
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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