Pelliccio, Marlena

Pelliccio, Marlena is an individual health care provider with primary practice located at 425 Centre St , Newton MA 02458-2063. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pelliccio, Marlena can be contacted via phone (617) 244-1990.

Contact Information

Primary practice address
425 Centre St Newton MA 02458-2063
Phone: (617) 244-1990
Fax: (617) 244-1811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15405 Massachusetts

Profile Details

NPI number 1801947262
LBN Legal business name Pelliccio, Marlena
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801947262 NPPES
Massachusetts Other 11491578 AETNA
Massachusetts Other Y68475 AETNA

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