Individual
AMANDA SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
350 LINCOLN ST, SUITE 104, HINGHAM, MA 02043-1578
(781) 740-4900
Mailing address
350 LINCOLN ST, SUITE 104, HINGHAM, MA 02043-1578
(781) 740-4900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19179
MA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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