Individual
KIMBERLY DEPARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14 INGALLS CT, METHUEN, MA 01844-3717
(978) 686-2807
Mailing address
14 INGALLS CT, METHUEN, MA 01844-3717
(978) 686-2807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2007
NH
225200000X
Physical Therapy Assistant
Primary
PTA2791
MA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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