Individual
DIANE T PACOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1581 N MAIN ST, PALMER, MA 01069-1232
(413) 283-8303
Mailing address
1581 N MAIN ST, PALMER, MA 01069-1232
(413) 283-8303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
440
MA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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