Individual
MRS. JEANNE LOIUSE BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1200 BRUSH HILL RD, MILTON, MA 02186-2337
(161) 733-3060
Mailing address
27 PAGE TER APT 208, STOUGHTON, MA 02072-4646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
451
MA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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