Individual
KRISTEN SOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6222
Mailing address
300 OCEAN AVE, REVERE, MA 02151-3675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23485
MA
Other
Enumeration date
02/13/2018
Last updated
10/30/2019
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