Individual
MRS. KELLY A BURNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
40 NORTH MAIN STREET, BELLINGHAM, MA 02019
(508) 966-2717
(508) 966-2095
Mailing address
40 ONEIL DRIVE, WESTBOROUGH, MA 01581
(508) 366-8402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7977
MA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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