Individual
LARISSA VANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
93 MORELAND ST, SOMERVILLE, MA 02145-1441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22628
MA
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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