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1174747240
JOSEPH J DIVINCENZO
BEVERLY, MA
NPI
1174747240
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Other Name
JOSEPH DIVINCENZO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 17438)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
MR. JOSEPH J DIVINCENZO MSPT
77 HERRICK ST
BEVERLY, MA 01915-2734
Phone number: 978-922-8943
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Mailing Address
MR. JOSEPH J DIVINCENZO MSPT
30 HOME ST
BEVERLY, MA 01915-4414
Phone number: 617-359-1472
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