Individual
THERESA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MARKET ST STE 3, LYNN, MA 01901-1044
(781) 592-0540
Mailing address
14 MOUNT VERNON ST STE 13, LYNN, MA 01901-1402
(781) 910-9682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225200000X
MA
Other
Enumeration date
07/31/2017
Last updated
08/24/2017
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