Healthcare Provider Details

I. General information

NPI: 1043494636
Provider Name (Legal Business Name): MARGARET MARY CIPRIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 MAIN ST
SOUTH WEYMOUTH MA
02190-1818
US

IV. Provider business mailing address

21 JUDGES HILL DR
NORWELL MA
02061-1039
US

V. Phone/Fax

Practice location:
  • Phone: 781-340-1337
  • Fax:
Mailing address:
  • Phone: 781-544-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number7012
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: