Individual
MS. ELEANOR VANDERGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 TARA CIR, FLORENCE, MA 01062-3446
(413) 588-6770
Mailing address
15 TARA CIR, FLORENCE, MA 01062-3446
(413) 588-6770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3515
MA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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