Individual
MRS. DONNA BETH VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 ROUTE 28, WEST YARMOUTH, MA 02673-4619
(508) 771-2034
(508) 771-5973
Mailing address
19 NOTTINGHAM DR, EAST SANDWICH, MA 02537-1315
(508) 833-4763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200
PT ASSISTANT LIC. NUMBER
MA
Enumeration date
11/02/2006
Last updated
07/08/2007
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