Individual
LAURA HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75 FRANCIS ST, 2C, BOSTON, MA 02115-6110
(617) 732-6853
(617) 277-1078
Mailing address
75 FRANCIS ST, 2C, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19608
MA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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