Individual
MARTHA A THEIRL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
654 BEACON ST STE 2, BOSTON, MA 02215-2099
(617) 536-1161
Mailing address
654 BEACON ST STE 2, BOSTON, MA 02215-2099
(617) 536-1161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22934
MA
225100000X
Physical Therapist
291092
CA
Other
Enumeration date
06/07/2016
Last updated
01/14/2019
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