Individual
TAMARA ELISA KEFEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
98 FARNHAM ST, BELMONT, MA 02478-3178
(617) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15942
MA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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