Individual
LINDA CAPPUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 EVANS STREET, MEDFORD, MA 02155
(781) 475-9256
Mailing address
69 EVANS ST, MEDFORD, MA 02155-4115
(781) 475-9256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
122860030
MA
363A00000X
Physician Assistant
Primary
122860030
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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