Individual
LUCAS MCFADDEN DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-4027
Mailing address
1400 VFW PKWY BLDG T89, WEST ROXBURY, MA 02132-4927
(857) 203-4027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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