Individual
MADELEINE CHASE PICCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
60A WAVERLY ST #1, BRIGHTON, MA 02135
(413) 244-0361
Mailing address
60A WAVERLY ST, APT 1, BRIGHTON, MA 02135
(413) 244-0361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22454
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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