Individual
MRS. CAROLYN MARGRETTA SHAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
21 CATAWBA STREET, BOSTON, MA 02119-1824
(617) 427-2706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
927
MA
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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