TAMMY MARIE PROVENCAL

GREENFIELD, MA
NPI1639672389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  16821)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
TAMMY MARIE PROVENCAL RPT
130 COLRAIN RD
GREENFIELD, MA 01301-9625
Phone number: 413-774-3724
Mailing Address
TAMMY MARIE PROVENCAL RPT
PO BOX 76
BERNARDSTON, MA 01337-0076
Phone number: 413-522-9133
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