Individual
MS. JANINE MODUGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GLEN RD, STONEHAM, MA 02180-3105
(781) 438-5947
Mailing address
8 GLEN RD, STONEHAM, MA 02180-3105
(781) 438-5947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8432
MA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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