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1558790816
PHYLLIS HEATLEY
STOUGHTON, MA
NPI
1558790816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MA 3992)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
Mrs. PHYLLIS HEATLEY PTA
1519 CENTRAL ST
STOUGHTON, MA 02072-4415
Phone number: 781-297-0979
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Mailing Address
Mrs. PHYLLIS HEATLEY PTA
1519 CENTRAL ST
STOUGHTON, MA 02072-4415
Phone number: 781-297-0979
Copy
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