Individual
TINA MARIE TANGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
573 SOUTH RD, TEMPLETON, MA 01468-1119
(978) 502-4769
Mailing address
573 SOUTH RD, TEMPLETON, MA 01468-1119
(978) 502-4769
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7736
MA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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