Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 24081 | MA |
NPI | 1215492780 |
---|---|
Provider Name | Dr. Atarah Joshua |
First Address | Waltham, MA 02451-1063 |
Second Address | Waltham, MA 02451-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2019 |
Last Update Date | 08/02/2019 |