Individual
MARIAM ADILI SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1180 BEACON ST, SUITE 6C, BROOKLINE, MA 02446-3885
(617) 730-5337
Mailing address
1913 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2417
(617) 730-5337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3138008
ATENA
MA
01
—
470287
TUFTS
MA
01
—
Y38139
BC
MA
Enumeration date
09/22/2006
Last updated
04/09/2009
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