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Individual

CARISSA L TILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
303D KING ST, NORTHAMPTON, MA 01060-2370
(413) 570-3981
Mailing address
300 BIRNIE AVE, SPRINGFIELD, MA 01107-1107
(413) 233-1277
(413) 736-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL22418
MA

Other

Enumeration date
08/05/2024
Last updated
11/15/2024
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