MEDICARE: LUCIA PALM SLOANE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	17343	MA

General Provider Information

NPI Number	:	1003506122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA PALM SLOANE PT, DPT

Provider Business Mailing Address
First Line	:	4 RICHMOND SQ STE 200
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-5117
Country	:	US
Telephone Number	:	401-433-4172
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 GRANITE AVE STE 340
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-4376
Country	:	US
Telephone Number	:	857-228-0090
Fax Number	:	774-961-3507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	07/25/2025

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Directions to “ LUCIA PALM SLOANE PT, DPT” Practice Location

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