Individual
REBECCA LODATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
161R LAKE ST, WILMINGTON, MA 01887-1622
(978) 604-9351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9838
MA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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