Individual
LAUREN LOUISE DETMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 PARKMAN ST, SUITE 128, BOSTON, MA 02114
(617) 643-0663
Mailing address
15 PARKMAN ST, SUITE 128, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20179
MA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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