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Individual

MICHELLE JANE MAILLOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
484 MAIN ST STE 600, WORCESTER, MA 01608-1881
(800) 244-2756
Mailing address
41 BRIAR AVE, LOWELL, MA 01852-1641
(978) 761-5322

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25187
MA

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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