MARK DEFAZIO

BOSTON, MA
NPI1619503125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MA  9532)
Enumeration Date2020-03-16
Last Update Date2020-03-16
Business Address
MARK DEFAZIO PTA
185 HARRISON AVE
BOSTON, MA 02111-1804
Phone number: 617-636-5632
Mailing Address
MARK DEFAZIO PTA
39 CHIPMAN ST
MEDFORD, MA 02155-4058
Phone number: 781-535-8636
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