Individual
MISS ANDRENA K AFOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
7061 SAUVAGE LN, GAINESVILLE, VA 20155-1682
(617) 504-4071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7884
MA
225200000X
Physical Therapy Assistant
Primary
A3952
MD
Other
Enumeration date
07/25/2007
Last updated
04/25/2018
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