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Individual

KAITLYN AMY ERISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
16D MACYS LN, NANTUCKET, MA 02554-2831
(508) 228-8122
Mailing address
2 WALL ST, NANTUCKET, MA 02554-4352
(508) 221-7028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20299
MA
2251X0800X
Orthopedic Physical Therapist
Primary
20299
MA

Other

Enumeration date
11/19/2012
Last updated
01/13/2023
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