Individual
KAITLIN HISEROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
330 BROOKLINE AVE, E/CCE 2, BOSTON, MA 02215-5400
(617) 754-9100
(617) 667-9229
Mailing address
330 BROOKLINE AVE, E/CCE 2, BOSTON, MA 02215-5400
(617) 754-9100
(617) 667-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20193
MA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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