Individual
MR. JOSEPH J DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
77 HERRICK ST, BEVERLY, MA 01915-2734
(978) 922-8943
Mailing address
30 HOME ST, BEVERLY, MA 01915-4414
(617) 359-1472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17438
MA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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