Provider Demographics
NPI:1417080425
Name:WRINN, MARY MESSIER (PT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MESSIER
Last Name:WRINN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 LOWER COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:DENNIS PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02639-1912
Mailing Address - Country:US
Mailing Address - Phone:978-247-5142
Mailing Address - Fax:978-474-7526
Practice Address - Street 1:200 BRICKSTONE SQ
Practice Address - Street 2:SUITE 301
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1437
Practice Address - Country:US
Practice Address - Phone:978-247-5142
Practice Address - Fax:978-474-7526
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75652251G0304X
CT24912251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics