Individual
MARY P LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
57 MANNERS AVE, BROCKTON, MA 02301-1418
(508) 944-2768
Mailing address
57 MANNERS AVE, BROCKTON, MA 02301-1418
(508) 944-2768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3896
MA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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