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1083187025
MATTHEW FOTHERGILL
WOBURN, MA
NPI
1083187025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 23066)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
MATTHEW FOTHERGILL
201 MAIN ST UNIT 35
WOBURN, MA 01801-5057
Phone number: 781-996-8916
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Mailing Address
MATTHEW FOTHERGILL
201 MAIN ST UNIT 35
WOBURN, MA 01801-5057
Phone number: 781-996-8916
Copy
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WOBURN PHYSICAL THERAPY, INC