Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2355 | MA |
NPI | 1003954512 |
---|---|
Provider Name | Tina Terfruchte |
First Address | Hopkinton, MA 01748-2247 |
Second Address | Hopkinton, MA 01748-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 20/09/2021 |