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1457786204
MEREDITH R IZZICUPO
SOMERVILLE, MA
NPI
1457786204
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Former Name
MEREDITH R HARCLERODE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 20685)
Enumeration Date
2013-09-12
Last Update Date
2019-02-27
Business Address
MEREDITH R IZZICUPO PT, DPT, SCS
5 MIDDLESEX AVE CAMBRIDGE HEALTH ALLIANCE
SOMERVILLE, MA 02145
Phone number: 617-591-4660
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Mailing Address
MEREDITH R IZZICUPO PT, DPT, SCS
1293 RIVER ST
HAVERHILL, MA 01832-3542
Phone number: 201-317-9683
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