Brianna Micciche

NPI #1124431135 in East Boston, Massachusetts

Provider Information

NPI Number: 1124431135
Entity Type: Individual
Name: Brianna Micciche
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 6, 2014
Last Updated: Jun 6, 2014

Practice Location

Address: 130 CONDOR ST
City: East Boston
State: Massachusetts
ZIP Code: 02128-1305
Phone: (617) 569-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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