Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 3275 | MA |
NPI | 1083077754 |
---|---|
Provider Name | Judith Abuza |
First Address | Florence, MA 01062-1406 |
Second Address | Florence, MA 01062-1406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 31/03/2016 |