Individual
ERIN BROOKE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
161 COLLEGE AVE, MEDFORD, MA 02155-5593
(781) 874-9748
(617) 627-2185
Mailing address
161 COLLEGE AVE, MEDFORD, MA 02155-5593
(781) 874-9748
(617) 627-2185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24520
MA
Other
Enumeration date
08/13/2019
Last updated
10/22/2019
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