Individual
MARIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 BOIVIN AVE, SOMERSET, MA 02726-3004
(774) 644-4660
Mailing address
145 BOIVIN AVE, SOMERSET, MA 02726-3004
(774) 644-4660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00748
RI
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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