Individual
MRS. AUDREY ANN XINTAROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46 MAYNARD ST, MALDEN, MA 02148-4606
(781) 605-0575
Mailing address
46 MAYNARD ST, MALDEN, MA 02148-4606
(781) 605-0575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6780
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704491
—
MA
Enumeration date
08/15/2006
Last updated
07/09/2007
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