Individual
MRS. KIM MARIE MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3165
Mailing address
18 BRATTLE ST, WILMINGTON, MA 01887-3534
(978) 657-7109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
969
MA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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