Individual
MARLENE THEBEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 GROVE ST, LEICESTER, MA 01524-1507
(508) 892-1335
(508) 892-1780
Mailing address
2 GROVE ST, LEICESTER, MA 01524-1507
(508) 892-1335
(508) 892-1780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13228
MA
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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