Individual
MRS. SUSAN JOY YACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
640 CONCORD AVE, CAMBRIDGE, MA 02138-1116
(617) 497-0600
(617) 497-4447
Mailing address
6 NORMAN LN, DUDLEY, MA 01571-5740
(617) 686-5689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044
MA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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