Individual
MRS. SUSAN K CHIAVAROLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
Mailing address
83 SUMMIT RD, ABINGTON, MA 02351-1207
(781) 878-6215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3572
MA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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