Individual
MADELYN CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 GULF RD, PELHAM, MA 01002-9763
(413) 478-6573
Mailing address
45 GULF RD, PELHAM, MA 01002-9763
(413) 478-6573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6300
MA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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