Individual
THERESE MARIE MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
579 BUCK ISLAND RD, WEST YARMOUTH, MA 02673-3200
(508) 957-7007
Mailing address
89 PUNKHORN POINT RD, MASHPEE, MA 02649-3874
(508) 477-0417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3636
MA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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