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Organization

MIND-BODY CONNECTION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN SPICUZZA APRN, ONS (OWNER)
(781) 821-7477
Entity
Organization

Contact information

Practice address
401 NEPONSET ST, SUITE 3, CANTON, MA 02021-1937
(781) 821-7477
(781) 821-7447
Mailing address
401 NEPONSET ST, SUITE 3, CANTON, MA 02021-1937
(781) 821-7477
(781) 821-7447

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17793
MA

Other

Enumeration date
04/18/2011
Last updated
05/16/2011
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