Individual
CHRISTIE ROSE CARUSOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1730 SWAMP RD, RICHMOND, MA 01254-5162
(413) 358-5997
Mailing address
1730 SWAMP RD, RICHMOND, MA 01254-5162
(413) 358-5997
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
8546
MA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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