Individual
MS. JEAN K. LADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
557 MOUNT AUBURN ST, WATERTOWN, MA 02472-4102
(617) 923-8533
Mailing address
557 MOUNT AUBURN ST, WATERTOWN, MA 02472-4102
(617) 923-8533
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2480
MA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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