Individual
MISS TRISHA FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2 PARK CENTRAL DR, SOUTHBOROUGH, MA 01772-1777
(508) 804-6900
Mailing address
2 PARK CENTRAL DR, SOUTHBOROUGH, MA 01772-1777
(508) 804-6900
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT14069
MA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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