Individual
KRISTA VIRGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
880 BROADWAY, SAUGUS, MA 01906-3284
(978) 352-5510
(978) 352-5530
Mailing address
880 BROADWAY, SAUGUS, MA 01906-3284
(978) 352-5510
(978) 352-5530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659425973
—
MA
Enumeration date
03/22/2010
Last updated
03/22/2010
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