Individual
LYNNE CORRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1506A ALLEN ST, BICENTENNIAL PLAZA, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
1506A ALLEN ST, BICENTENNIAL PLAZA, SPRINGFIELD, MA 01118-1817
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
16447
MA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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