Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 4000 | MA |
NPI | 1013280684 |
---|---|
Provider Name | Mrs. Lauren Elizabeth Mcgarry |
First Address | Southbridge, MA 01550-3961 |
Second Address | Southbridge, MA 01550-3961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2012 |
Last Update Date | 13/02/2012 |