Individual
MRS. CAROLYN DOMINGUEZ SACCHIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Mailing address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085841
TUFTS
MA
01
—
4401400
CIGNA ORTHONET
MA
01
—
AA114732
HARVARD PILGRIM HEALTHCARE
MA
01
—
Y67479
BLUE CROSS BLUE SHIELD
MA
01
—
Y69138
MEDICARE PTAN
MA
Enumeration date
08/31/2006
Last updated
06/07/2013
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