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Individual

MRS. LYNNE MARIE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Mailing address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8032
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
626564
HARVARD PILGRIM PLAN
MA
01
763687
TUFTS HEALTH PLAN
MA
01
Y67319
BLUE CROSS BLUE SHIELD
MA
01
Y69131
MEDICARE PTAN
MA
Enumeration date
08/31/2006
Last updated
06/05/2013
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