Individual
MARY MOLE CAPUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
74 WALNUT ST, SPRINGFIELD, MA 01105-1524
(413) 733-1517
Mailing address
200 NORTHPOINTE CIR, STE.302, SEVEN FIELDS, PA 16046-7861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
702
MA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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