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Individual

ANITA PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
186 SUMMER ST, KINGSTON, MA 02364-1282
(781) 585-8588
(781) 585-1279
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL27396
MA

Other

Enumeration date
02/21/2024
Last updated
02/21/2024
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