Individual
MISS MAUREEN E BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 CENTRAL AVE, CHELSEA, MA 02150-3508
(617) 660-2615
Mailing address
83 LOCKWOOD RD, LYNN, MA 01904-2001
(978) 532-3737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194703520
—
MA
Enumeration date
09/18/2012
Last updated
09/18/2012
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