Individual
MARY ELLEN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 GREATON RD, WEST ROXBURY, MA 02132-1427
(617) 435-3400
Mailing address
134 GREATON RD, WEST ROXBURY, MA 02132-1427
(617) 435-3400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
722
MA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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