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Individual

MS. CAROLYN VAILLANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT MS NCS

Contact information

Practice address
751 GRANITE ST, BRAINTREE PEDIATRIC CENTER, BRAINTREE, MA 02184
(781) 380-4360
(781) 356-1820
Mailing address
86 BIRCH ST, BRAINTREE, MA 02184
(781) 849-7973
(781) 356-1820

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5420
MA

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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