Individual
MS. KRISTEN LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
280D ROUTE 130, SUITE 7, FORESTDALE, MA 02644-1140
(508) 833-1060
Mailing address
280D ROUTE 130, SUITE 7, FORESTDALE, MA 02644-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19751
MA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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