Individual
RACHEL DISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
68 AMHERST ST, GRANBY, MA 01033-9442
(413) 454-7570
Mailing address
68 AMHERST ST, GRANBY, MA 01033-9442
(413) 454-7570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9705
MA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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