Craig Kettenring

NPI #1659563880 in Pembroke, Massachusetts

Provider Information

NPI Number: 1659563880
Entity Type: Individual
Name: Craig Kettenring
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 12, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 927 PEMBROKE WOODS DR
City: Pembroke
State: Massachusetts
ZIP Code: 02359-4966
Phone: (781) 924-1359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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