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Individual

MISS MARYELLEN ERNST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, CP

Contact information

Practice address
28 NORFOLK AVE, SWAMPSCOTT, MA 01907-1805
(781) 598-6511
Mailing address
100B ROCKING HORSE ROAD, SOUTHSHORE, CHRISTCHURCH, NEW ZEALAND 8062
(643) 382-5556

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
8216
MA

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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