Tinamarie Fegan LPTA

NPI 1215123492 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1215123492
Gender Female
Enumeration Date 09/20/2007
Last Updated 09/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
501 JOHN MAHAR HWY
BRAINTREE MA, 02184-6599, US
Phone (781) 356-1016
Fax
Business Location
21 MAITLAND AVE
RANDOLPH MA, 02368-3209, US
Phone (781) 961-6629
Fax
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 3300
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According to our database, Mrs. Tinamarie Fegan LPTA NPI is 1215123492, taxonomy code is 225200000X and license number is 3300, license state is located at Massachusetts. Tinamarie Fegan LPTA physically located at 501 John Mahar Hwy, Braintree MA, 02184-6599. NPI Number Tinamarie Fegan LPTA has the Individual type.

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1215123492 NPI number is provided on an as is basis without warranty of any kind. 1215123492 is maintained by the National Plan & Provider Enumeration System. The contents of Tinamarie Fegan LPTA are for informational purposes only.