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Individual

KATE ELIZABETH DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
295 OLD OAK ST, PEMBROKE, MA 02359-1955
(857) 444-1200
(857) 995-5022
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23742
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23742
PT LICENSE
MA
Enumeration date
09/19/2018
Last updated
09/19/2018
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