Wilawan None Chaiyarat
Clinic/Center, Physical Therapy in Andover, MA. Individual provider (NPI-1).
NPI number1780180208
StatusActive
Last updated in NPPESApr 3, 2018
Details
- NPI
- 1780180208
- Entity type
- Individual (NPI-1)
- Name
- Wilawan None Chaiyarat
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2018
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 11956 | MA | Yes |
Practice location
89 Morton StAndover, MA 01810-2036
Phone 978-475-0944
Mailing address
16 Inwood LnAndover, MA 01810-6302
Phone 978-688-8228
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