Individual
MICHAEL BARRY SODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 KIPLING ST, SPRINGFIELD, MA 01118-1228
(413) 348-3563
Mailing address
50 KIPLING ST, SPRINGFIELD, MA 01118-1228
(413) 348-3563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7643
MA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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