Individual
MRS. MARY LISA GREATHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27 SPRING VALLEY RD, METHUEN, MA 01844-4164
(978) 989-9210
Mailing address
27 SPRING VALLEY RD, METHUEN, MA 01844-4164
(978) 989-9210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4434PT
MA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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