Individual
MRS. AMY QUEANDER DIMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
977 MAIN ST, WALTHAM, MA 02451-7406
(781) 891-0452
Mailing address
25 CARLETON RD, WALTHAM, MA 02451-2903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11397
MA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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