Individual
LAUREN MICCILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75 FRANCIS ST, TR-2C, BOSTON, MA 02115-6110
(617) 732-5000
Mailing address
32 APPLETON ST APT 3, BOSTON, MA 02116-6225
(978) 621-3204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22045
MA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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