Individual
MAUREEN MINAHAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
165 LOWELL ST, #1, SOMERVILLE, MA 02143-1414
(508) 615-5252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9063
MA
225700000X
Massage Therapist
7178
MA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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