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1316154057
KELLY RENEE TRUSSELL
BOSTON, MA
NPI
1316154057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 17057)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- KELLY RENEE TRUSSELL D.P.T.
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-9226
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Mailing Address
-- KELLY RENEE TRUSSELL D.P.T.
306 COLUMBUS AVE APT 3
BOSTON, MA 02116-5153
Phone number: 757-329-8853
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