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Tina Marie Tanguay, PTA

Physical Therapy Assistant in Templeton, MA. Individual provider (NPI-1).

NPI number1629615166
StatusActive
Last updated in NPPESDec 3, 2019

Details

NPI
1629615166
Entity type
Individual (NPI-1)
Name
Tina Marie Tanguay
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 3, 2019
Last updated
Dec 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant7736MAYes

Practice location

573 South Rd
Templeton, MA 01468-1119

Phone 978-502-4769

Mailing address

573 South Rd
Templeton, MA 01468-1119

Phone 978-502-4769

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