NPI 1114189511

Marline Aurelien, PTA

Practitioner Specialist Canton, MA

Practice location

Address: 1 Meadowbrook Way, Canton, MA 02021-2496
Phone: (781) 961-5600
Mailing address: 47 Highland Ave APT 12a, Randolph, MA 02368-4520

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 8112 (MA)

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Registry record

NPI: 1114189511
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2008
Record last updated: 26 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.