Individual
ANNE CIASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 HIGH ST, MEDFORD, MA 02155-3844
(781) 391-0303
(781) 391-9922
Mailing address
84 HIGH ST, MEDFORD, MA 02155-3844
(781) 391-0303
(781) 391-9922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15348
MA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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