Individual
CRAIG KETTENRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 PEMBROKE WOODS DR, PEMBROKE, MA 02359-4966
(781) 924-1359
Mailing address
927 PEMBROKE WOODS DR, PEMBROKE, MA 02359-4966
(781) 924-1359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17771
MA
Other
Enumeration date
08/12/2007
Last updated
08/22/2007
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