Individual
MARISOL MADRIGAL KIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
185 HARRISON AVE, BOSTON, MA 02111-1804
(617) 636-5632
Mailing address
56 FAIRMONT ST, APT 2, ARLINGTON, MA 02474-8718
(213) 308-6937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22608
MA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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