Individual
LAURA BETH WILCZEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
799 CONCORD AVE, CAMBRIDGE, MA 02138-1048
(617) 864-4200
(617) 491-7368
Mailing address
799 CONCORD AVE, CAMBRIDGE, MA 02138-1048
(617) 864-4200
(617) 491-7368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8255
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396851
—
MA
01
—
Y66795
BCBS
—
Enumeration date
09/20/2005
Last updated
09/19/2023
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