Kathleen Bannon Valid NPI
Individual provider · Physical Therapist · Stoneham, MA
- NPI
- 1649711987
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 11469 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-03-20
- Last updated
- 2017-07-24
Practice location
92 Montvale Ave Ste 4500
Stoneham, MA 02180-3663
(781) 279-8433