Individual
BETHANY CORVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
540 GALLIVAN BLVD, DORCHESTER CENTER, MA 02124-5400
(617) 282-1200
(617) 282-9988
Mailing address
110 EISENHOWER RD, SWANSEA, MA 02777-3104
(857) 222-7894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17394
MA
Other
Enumeration date
11/09/2009
Last updated
08/10/2020
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