Individual
MRS. DASIA LYNN LARUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
203 LINDEN PONDS WAY, HINGHAM, MA 02043-8700
(781) 534-7160
Mailing address
203 LINDEN PONDS WAY, HINGHAM, MA 02043-8700
(781) 534-7382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18066
MA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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