MRS. Rogina A Modestow

NPI #1134410772 in East Longmeadow, Massachusetts

Provider Information

NPI Number: 1134410772
Entity Type: Individual
Name: MRS. Rogina A Modestow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 1, 2011
Last Updated: May 1, 2011

Practice Location

Address: 305 MAPLE ST
City: East Longmeadow
State: Massachusetts
ZIP Code: 01028-2765
Phone: (413) 525-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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