Individual
HARRIET BETTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
50 GOLD STAR BLVD, WORCESTER, MA 01606
(508) 856-9510
(508) 853-1907
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 856-9510
(508) 853-1907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00892600
NJ
225100000X
Physical Therapist
Primary
4682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110012858A
—
MA
Enumeration date
08/19/2014
Last updated
01/04/2019
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