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Individual

MS. JOAN WACEKE WAMBAA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6853
(617) 277-1078
Mailing address
193 STRATHMORE RD, 5, BRIGHTON, MA 02135-5212
(423) 612-3416

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17745
MA

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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