Individual
MS. ANGELA ROSE PALLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345A GREENWOOD STREET, WORCESTER, MA 01607
(508) 363-0200
Mailing address
345A GREENWOOD STREET, WORCESTER, MA 01607
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
TAXONOMY
MA
Enumeration date
11/18/2016
Last updated
11/18/2016
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