Individual
ELIZA MARY POUTENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
354 W BOYLSTON ST STE 111, WEST BOYLSTON, MA 01583-2373
(508) 622-3700
Mailing address
354 W BOYLSTON ST STE 111, WEST BOYLSTON, MA 01583-2373
(508) 622-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
2255A2300X
Athletic Trainer
3399
MA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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