Individual
MRS. CAROLYN MARIE LESIEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 585-4100
Mailing address
104 UPLAND RD, PLYMPTON, MA 02367-1613
(781) 585-5687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6275
MA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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