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1922418664
LISA DACEY MADDING
BOSTON, MA
NPI
1922418664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 19062)
Enumeration Date
2014-05-03
Last Update Date
2014-05-03
Business Address
-- LISA DACEY MADDING MSPT
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-642-0663
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Mailing Address
-- LISA DACEY MADDING MSPT
224 CHERRY ST
NEWTON, MA 02465-1246
Phone number: 617-823-9831
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