MISS Mari Jane Academia Ticzon, RPT

NPI #1306032206 in Webster, Massachusetts

Provider Information

NPI Number: 1306032206
Entity Type: Individual
Name: MISS Mari Jane Academia Ticzon, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Sep 25, 2007
Last Updated: Sep 25, 2007

Practice Location

Address: 11 PONTIAC AVE
City: Webster
State: Massachusetts
ZIP Code: 01570-1629
Phone: (508) 943-3889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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