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Mark Defazio, PTA
NPI 1619503125 · on the registry since 2020
Practice
- Address
- 185 Harrison Ave
Boston, MA 02111 - Phone
- (617) 636-5632
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts