Individual
KERRIE GOTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BURLINGTON WOODS, SUITE 304, BURLINGTON, MA 01803-4514
(781) 270-0222
Mailing address
91 DIMMOCK ST, QUINCY, MA 02169-1945
(781) 270-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8170
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8170
LICENSE
MA
Enumeration date
11/07/2008
Last updated
11/07/2008
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