Individual
REBECCA M BARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7705
Mailing address
86 CROOKED SPRING RD, NORTH CHELMSFORD, MA 01863-2307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710087127
—
MA
Enumeration date
08/21/2012
Last updated
08/21/2012
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