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Individual

KAREN D. WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, PTA

Contact information

Practice address
607 NORTH AVE, SUITE 12, WAKEFIELD, MA 01880-1307
(800) 831-3882
Mailing address
4 HILLSIDE AVE, APT 1, MELROSE, MA 02176-3515
(781) 662-0803

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7510
MA

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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