Organization
SHORELINE PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMEE LAVIN PTA (PTA)
(508) 472-8755
Entity
Organization
Contact information
Practice address
4 BARTLETT RD, NANTUCKET, MA 02554-4381
(508) 472-8755
Mailing address
4 BARTLETT RD, NANTUCKET, MA 02554-4381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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