Individual
KIMBERLY RUSSO CASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 BANKS ST, WINTHROP, MA 02152-1931
(617) 846-5609
(617) 539-0025
Mailing address
120 BANKS ST, WINTHROP, MA 02152-1931
(617) 846-5609
(617) 539-0025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68361
BLUECROSSBLUESHIELD
MA
Enumeration date
04/04/2007
Last updated
12/12/2007
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