CARRIE PROVENCAL

LEOMINSTER, MA
NPI1467405183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  10819)
Enumeration Date2006-05-17
Last Update Date2007-12-17
Business Address
Mrs. CARRIE PROVENCAL PT
39 CINEMA BLVD
LEOMINSTER, MA 01453
Phone number: 978-466-6677
Mailing Address
Mrs. CARRIE PROVENCAL PT
39 CINEMA BLVD
LEOMINSTER, MA 01453
Phone number: 978-466-6677
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