Individual
NEHA ALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 LINCOLN ST, WALTHAM, MA 02451-0912
(510) 634-3726
Mailing address
245 LINCOLN ST, WALTHAM, MA 02451-0912
(510) 634-3726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9760
MA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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