Provider Demographics
NPI:1265858526
Name:LESSARD, MARY KATHLEEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHLEEN
Last Name:LESSARD
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Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:825 WASHINGTON STREET
Mailing Address - Street 2:STE 280
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4641
Mailing Address - Country:US
Mailing Address - Phone:781-769-2040
Mailing Address - Fax:781-769-1914
Practice Address - Street 1:825 WASHINGTON STREET
Practice Address - Street 2:STE 280
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4641
Practice Address - Country:US
Practice Address - Phone:781-769-2040
Practice Address - Fax:781-769-1914
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2018-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA20970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist