Whalio Doctors

NPI 1669689956

Susan Joy Yacino, PTA

Practitioner Physical Therapy Assistant Cambridge, MA

Practice location

Address
640 Concord Ave, Cambridge, MA 02138-1116
Phone
(617) 497-0600
Fax
(617) 497-4447
Mailing address
6 Norman Ln, Dudley, MA 01571-5740

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2044 (MA)

Registry record

NPI
1669689956
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 May 2007
Record last updated
8 Jul 2007

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.