Individual
MISS IRISH TUDTUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 SCHOOL ST APT 1, BOSTON, MA 02119-3139
(617) 816-3979
Mailing address
173 SCHOOL ST APT 1, BOSTON, MA 02119-3139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20143
MA
Other
Enumeration date
11/07/2013
Last updated
08/16/2017
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