Individual
KERRIE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 WALNUT ST BLDG 3, WELLESLEY, MA 02481-2108
(781) 239-0100
Mailing address
3 MCRAYNE HILL RD, BILLERICA, MA 01821-1628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25974
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193243879
MOTION LLC
MA
Enumeration date
03/22/2022
Last updated
03/22/2022
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