Individual
FATEMEH MEHRY BEHBAKHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
196 BOSTON AVE, SUITE 2200, MEDFORD, MA 02155-4236
(781) 391-5151
Mailing address
196 BOSTON AVE, SUITE 2200, MEDFORD, MA 02155-4236
(781) 391-5151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/09/2007
Last updated
07/08/2007
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