Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 21889 | MA |
NPI | 1447621305 |
---|---|
Provider Name | Dr. Dana Jill Hindman |
First Address | Boston, MA 02114-2743 |
Second Address | Boston, MA 02114-2743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2015 |
Last Update Date | 16/10/2015 |