Individual
KEELY NOWOSACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1269 MAIN ST, CONCORD, MA 01742-3099
(978) 287-7813
Mailing address
47 WEBSTER ST APT 2, WOBURN, MA 01801-1552
(978) 287-7813
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
21475
MA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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