Karen D. Willis BS, PTA

NPI 1750503413 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1750503413
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
607 NORTH AVE
SUITE 12
WAKEFIELD MA, 01880-1307, US
Phone (800) 831-3882
Fax
Business Location
4 HILLSIDE AVE
APT 1
MELROSE MA, 02176-3515, US
Phone (781) 662-0803
Fax
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 7510
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According to our database, Karen D. Willis BS, PTA NPI is 1750503413, taxonomy code is 225200000X and license number is 7510, license state is located at Massachusetts. Karen D. Willis BS, PTA physically located at 607 North Ave, Wakefield MA, 01880-1307. NPI Number Karen D. Willis BS, PTA has the Individual type.

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1750503413 NPI number is provided on an as is basis without warranty of any kind. 1750503413 is maintained by the National Plan & Provider Enumeration System. The contents of Karen D. Willis BS, PTA are for informational purposes only.