Individual
KATHRYN MARY ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 757-2756
Mailing address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 757-2756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02288
RI
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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