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Individual

EDWARD MIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, MLD-CT

Contact information

Practice address
475 HILLSIDE AVE STE 8, NEEDHAM, MA 02494-1200
(617) 207-6010
Mailing address
475 HILLSIDE AVE STE 8, NEEDHAM, MA 02494-1200

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14534
MA

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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