Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 22159 | MA |
NPI | 1003275066 |
---|---|
Provider Name | Kristen Morris |
First Address | Attleboro, MA 02703-5401 |
Second Address | Attleboro, MA 02703-5401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2016 |
Last Update Date | 18/02/2016 |