Individual
MS. CARRIE ANN MINAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.,N.C.S.
Contact information
Practice address
290 FIRST ST, PITTSFIELD, MA 01201
(413) 443-4246
(413) 443-0737
Mailing address
290 FIRST ST, PITTSFIELD, MA 01201
(413) 443-4246
(413) 443-0737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9968
MA
225100000X
Physical Therapist
PTO1679
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9759441
—
MA
Enumeration date
09/20/2006
Last updated
12/23/2008
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