Individual
MARLENA PELLICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
425 CENTRE ST, NEWTON, MA 02458-2063
(617) 244-1990
(617) 244-1811
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11491578
AETNA
MA
01
—
Y68475
BCBSMA
MA
Enumeration date
01/14/2007
Last updated
07/08/2007
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