Individual
MRS. AMY REBECCA MAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 NORTH ST LOWR LEVEL, HYANNIS, MA 02601-3825
(508) 771-9600
(508) 775-1753
Mailing address
37 MELLO LN, HARWICH, MA 02645-3101
(150) 843-2392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2875
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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