Individual
GEORGIA IVSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WASHINGTON ST, STOUGHTON, MA 02072-4203
(781) 573-3915
(781) 795-9947
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25979
MA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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