Search › Massachusetts › 2255A2300X
Marissa Vane, ATC, LAT
NPI 1659783868 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1419 Commonwealth Ave
Apartment 504
Boston, MA 02135 - Phone
- (408) 398-5578
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-08
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