Individual
TINA STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 CINEMA BLVD, LEOMINSTER, MA 01453-3290
(978) 466-6677
(978) 466-1133
Mailing address
53 FRYEVILLE RD, ORANGE, MA 01364-9542
(978) 575-1093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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