Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1548461536 |
---|---|
Provider Name | Ms. Melanie Ann Cyr |
First Address | Somerville, MA 02143-4310 |
Second Address | Medford, MA 02155-1643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |