Individual
BROOKE KAPETANAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0555
Mailing address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6484
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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