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Individual

KELLY ALLEN DIGIAMMARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
16 GRAND ST, READING, MA 01867-2411
(203) 767-1608
Mailing address
16 GRAND ST, READING, MA 01867-2411
(203) 767-1608

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18394
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18394
PHYSICAL THERAPY LICENSE
MA
Enumeration date
08/14/2017
Last updated
08/14/2017
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