Individual
KEVIN MYREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
525 BEDFORD ST STE 5&6, BRIDGEWATER, MA 02324-3187
(508) 279-0033
Mailing address
454 E 3RD ST APT 3, BOSTON, MA 02127-1692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25735
MA
Other
Enumeration date
08/26/2021
Last updated
09/06/2021
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