Individual
NINA CAPOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
76 OTIS ST, SUITE 7, WESTBOROUGH, MA 01581-3315
(508) 241-2110
(508) 319-3200
Mailing address
46 IDEAL RD, WORCESTER, MA 01604-1452
(508) 241-2110
(508) 319-3200
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
93
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPIST
MA
Enumeration date
11/05/2009
Last updated
11/05/2009
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