Individual
MRS. KATHLEEN MARY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
111 DODGE STREET, BEVERLY, MA 01915
(978) 921-1182
(978) 921-2982
Mailing address
111 DODGE STREET, BEVERLY, MA 01915
(978) 921-1182
(978) 921-2982
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5258
MA
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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