Individual
JOANH CARVAJAL RUIDIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 JESSICA LN, WAKEFIELD, MA 01880-1252
(617) 398-4508
Mailing address
3 JESSICA LN, WAKEFIELD, MA 01880-1252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10065
MA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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