Dicicco-Kanbourian, Alexandra
Dicicco-Kanbourian, Alexandra is an individual health care provider with primary practice located at 345A Greenwood Street Suite B , Worcester MA 01607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Dicicco-Kanbourian, Alexandra can be contacted via phone (508) 363-0200.Contact Information
Primary practice address
345A Greenwood Street Suite B
Worcester MA 01607
Phone: (508) 363-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1255875043 |
|---|---|
| LBN Legal business name | Dicicco-Kanbourian, Alexandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Dec 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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