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1730480906
STACY ELLEN POTVIN
BOSTON, MA
NPI
1730480906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MA 3450)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
MS. STACY ELLEN POTVIN PTA
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-4530
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Mailing Address
MS. STACY ELLEN POTVIN PTA
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-4530
Copy
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