Individual
MARC DOUGLAS SIRRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
150 HUNTINGTON AVE, JAMAICA PLAIN, MA 02130
(857) 364-4864
Mailing address
19 DIANE AVE, PLYMOUTH, MA 02360
(857) 364-4864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11580
MA
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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