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NPI Code Detail

MEDICARE: DANIELLE MINGOLLA

MEDICARE: DANIELLE MINGOLLA
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
1225100000XPhysical Therapist25573MA

General Provider Information

NPI Number : 1144990045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MINGOLLA
Provider Business Mailing Address
First Line : 10 LONGWOOD DR
Second Line :
City : WESTWOOD
State : MA
Zip : 02090-1123
Country : US
Telephone Number : 781-326-9402
Fax Number : 781-326-0661
Provider Business Practice Location Address
First Line : 10 LONGWOOD DR
Second Line :
City : WESTWOOD
State : MA
Zip : 02090-1123
Country : US
Telephone Number : 781-326-9402
Fax Number : 781-326-0661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 01/19/2026

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Directions to “ DANIELLE MINGOLLA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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