Individual
MRS. CHRISTINE SOUSSOU IRACHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-3501
Mailing address
73 RUTLAND ST APT 5, BOSTON, MA 02118-1583
(617) 515-3911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17183
MA
Other
Enumeration date
10/31/2006
Last updated
08/03/2010
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