Individual
DANIELLE BRESSOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1347
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17930
MA
Other
Enumeration date
08/27/2009
Last updated
12/21/2009
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