Individual
MR. DAVID PAZ BACANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
2181 WASHINGTON STREET, 305, ROXBURY, MA 02119-2082
(617) 541-0772
Mailing address
89 UNIVERSITY ROAD, BROOKLINE, MA 02445
(857) 272-6576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15675
MA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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