Individual
DANIELLE KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
204 PROCTOR AVE, REVERE, MA 02151-4923
(741) 286-3100
Mailing address
204 PROCTOR AVE, REVERE, MA 02151-4923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8603
MA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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