Individual
CHRISTINA MARIE MEMMOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
681 BEVILLE RD, SOUTH DAYTONA, FL 32119-1951
(800) 330-7711
Mailing address
1181 SARATOGA ST, EAST BOSTON, MA 02128-1229
(617) 970-6905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17545
MA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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