Most Relevant Information
Provider Data
| NPI Number: | 1003044546 |
| Provider Name: | CLARENE MAE DIBONA N.C.T.M.B. |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: | 167 |
Most Important Dates
| Enumeration Date: | 06/23/2009 |
| Last Updated: | 06/23/2009 |
Provider Practice Location
723 WASHINGTON STREET
WEYMOUTH
MA
021881709
Practice Location Phone/Fax
| Phone: | 7813311615 |
| Fax: | 7813310392 |
Provider Mailing Location
723 WASHINGTON STREET
WEYMOUTH
MA
021881709
Provider Mailing Phone/Fax
| Phone: | 7813311615 |
| Fax: | 7813310392 |