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Individual

MRS. ANNA MIRETSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
376 OCEAN AVE, APT 614, REVERE, MA 02151-2643
(781) 289-9579
(781) 284-9343
Mailing address
376 OCEAN AVE, APT 614, REVERE, MA 02151-2643
(781) 289-9579
(781) 284-9343

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17277
MA

Other

Enumeration date
09/03/2006
Last updated
07/08/2007
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