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1750592200
STACEY ANNE MANTENUTO
MEDFORD, MA
NPI
1750592200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 10268)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Mrs. STACEY ANNE MANTENUTO PT, MSPT
170 GOVERNORS AVE
MEDFORD, MA 02155-1643
Phone number: 781-306-6950
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Mailing Address
Mrs. STACEY ANNE MANTENUTO PT, MSPT
4 CAROLINA LN
WESTFORD, MA 01886-1446
Phone number: 978-692-2871
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