Individual
MRS. JESSICA ELIZABETH RUCKEL MICOCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19 HIGH ST, SOUTH EASTON, MA 02375-1111
(781) 801-2231
Mailing address
19 HIGH ST, SOUTH EASTON, MA 02375-1111
(781) 801-2231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16943
MA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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