| NPI | 1356676662 |
|---|---|
| Doing Business As | MARLENA PELLICCIO PT |
| Entity Type | Organization |
| Authorized Contact | MARLENA PELLICCIO Manager/ PT 617-455-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15405) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |