Individual
ALICE M KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
20 SADDLE HILL RD, AMHERST, NH 03031-1600
(603) 769-7309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9663
MA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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