Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 11, 2024
License(s)
PTL4590 (MA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 4661 | Lancaster, PA 17604-4661 | |
| LOCATION | 253 WASHINGTON ST | Hudson, MA 01749-2979 | 610-663-5888 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.