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1811304728
IAN AVENIA-TAPPER
WALTHAM, MA
NPI
1811304728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 20843)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
-- IAN AVENIA-TAPPER
20 AMHERST AVE
WALTHAM, MA 02451-3204
Phone number: 860-817-6315
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Mailing Address
-- IAN AVENIA-TAPPER
20 AMHERST AVE
WALTHAM, MA 02451-3204
Phone number:
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