Individual
MARIYA USATINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT MS
Contact information
Practice address
33 POND AVE APT 1204, BROOKLINE, MA 02445-7159
(617) 903-8283
Mailing address
33 POND AVE APT 1204, BROOKLINE, MA 02445-7159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017456
NY
2251P0200X
Pediatric Physical Therapist
Primary
19007
MA
Other
Enumeration date
10/23/2008
Last updated
10/15/2010
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