Individual
MR. PAULO LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
1820 TURNPIKE ST STE 200, NORTH ANDOVER, MA 01845-6327
(617) 312-0204
Mailing address
2 EDGEWOOD DR, HUDSON, MA 01749-1209
(617) 312-0204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8351
MA
225700000X
Massage Therapist
6397
MA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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