Individual
MICHAEL DEFOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
444 WASHINGTON ST, WOBURN, MA 01801-1046
(781) 937-9777
Mailing address
PO BOX 171599, BOSTON, MA 02117-3438
(617) 699-3527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8852
MA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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