Individual
KAITLYN AMANDA VIOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
146 MACARTHUR BLVD, BUZZARDS BAY, MA 02532-3902
(508) 759-8880
Mailing address
6 EDNA CIR, EAST FREETOWN, MA 02717-1132
(774) 208-2123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9825
MA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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