Individual
KIM VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, PT
Contact information
Practice address
56 NEW DRIFTWAY STE 204, SCITUATE, MA 02066-4533
(781) 544-3434
(781) 544-3946
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15499
MA
Other
Enumeration date
10/08/2015
Last updated
10/04/2017
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