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Individual

CATHERINE A FAWLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
321 ELIOT ST, MILTON, MA 02186-2216
(617) 698-2309
Mailing address
321 ELIOT ST, MILTON, MA 02186-2216

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18275
MA
225100000X
Physical Therapist
Primary
1984
AK
225100000X
Physical Therapist
3949
NM
225100000X
Physical Therapist
6476
AZ

Other

Enumeration date
04/13/2007
Last updated
03/09/2011
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