Individual
KAMILLA GAMIDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SESSIONS DR, HAMPDEN, MA 01036-9722
(413) 657-4580
Mailing address
19 SESSIONS DR, HAMPDEN, MA 01036-9722
(413) 657-4580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
344400
MA
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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