Individual
KIMBERLY ANNE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
26 S MAIN ST, RANDOLPH, MA 02368-4821
(781) 961-9200
(781) 961-6599
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23399
MA
225100000X
Physical Therapist
8494
SC
Other
Enumeration date
02/06/2017
Last updated
04/19/2021
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