Individual
ALEXA GIANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PROCTOR AVE, REVERE, MA 02151-4923
(781) 286-3100
Mailing address
50 GOLDIE ST, REVERE, MA 02151-1905
(781) 632-3392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9773
MA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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