Individual
ELANA FENVES YAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
195 CANAL STREET, MALDEN, MA 02148
(781) 338-0159
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23204
MA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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