Individual
KENDELLYNN DONNA CAVANAUGH GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1 TECHNOLOGY PARK DR, SUITE A, BOURNE, MA 02532-8336
(508) 743-0465
Mailing address
35 SPINNAKER LN, POCASSET, MA 02559-1911
(508) 563-5412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15268
MA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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