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NPI Code Detail

MEDICARE: MISS PAMELA JEAN ALDEN PTA

MEDICARE: MISS PAMELA JEAN ALDEN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2194MA

General Provider Information

NPI Number : 1801097506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PAMELA JEAN ALDEN PTA
Provider Business Mailing Address
First Line : 272 CAMBRIDGE RD APT 14
Second Line :
City : WOBURN
State : MA
Zip : 01801-6015
Country : US
Telephone Number : 781-935-7124
Fax Number :
Provider Business Practice Location Address
First Line : 146 PARK AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02476-5829
Country : US
Telephone Number : 781-648-9530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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