Individual
JOY AST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 632-7935
Mailing address
31 BEACONSFIELD RD, BROOKLINE, MA 02445-3306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16079
MA
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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