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Individual

KENNETH LOUIS VINACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
635 COMMONWEALTH AVE, BOSTON, MA 02215-1605
(617) 358-3700
Mailing address
915 COMMONWEALTH AVE REAR, BOSTON, MA 02215-1394
(617) 358-3700
(866) 818-0863

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25661
MA

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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