Individual
CHERI COUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17 LYNNFIELD ST, LYNN, MA 01904-2219
(978) 987-7999
Mailing address
17 LYNNFIELD ST, LYNN, MA 01904-2219
(978) 987-7999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8446
MA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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