Individual
MRS. EILEEN M SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
42 MASSASOIT AVE, HULL, MA 02045-2536
(781) 367-0255
Mailing address
42 MASSASOIT AVE, HULL, MA 02045-2536
(781) 367-0255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8003
MA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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