Individual
KELLY EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 336-5107
Mailing address
66 JESSICA WAY, PLYMOUTH, MA 02360-1768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8779
MA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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