Individual
CAROL A MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
54 POND STREET ,, BOX1132, DOUGLAS, MA 01516-1132
(508) 873-6399
Mailing address
PO BOX 1132, 54 POND STREET, DOUGLAS, MA 01516-1132
(508) 873-6399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
239
MA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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