Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1396256962 |
---|---|
Provider Name | Dr. Caron Lori Murstein |
First Address | Medfield, MA 02052-1426 |
Second Address | Milford, MA 01757-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2017 |
Last Update Date | 23/10/2017 |