Individual
MR. KURT MARCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
95 MAIN ST, BROCKTON, MA 02301-4010
(508) 559-9696
Mailing address
18 UTILITY RD, SCITUATE, MA 02066-3329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6157
MA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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