Individual
ELIZABETH REID MCANULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
243 KING ST, SUITE 242, NORTHAMPTON, MA 01060-2451
(413) 584-0265
(413) 584-2031
Mailing address
25 CLARK ST, EASTHAMPTON, MA 01027-2329
(413) 529-9541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5252
MA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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