Provider Demographics
NPI:1013031848
Name:DAYAN-CIMADORO, LILIAN (PT,DPT,MS,NCS,CLT-LA)
Entity Type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:
Last Name:DAYAN-CIMADORO
Suffix:
Gender:F
Credentials:PT,DPT,MS,NCS,CLT-LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CRAIG LN
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7505
Mailing Address - Country:US
Mailing Address - Phone:178-189-3869
Mailing Address - Fax:
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:ROOM 134
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-7484
Practice Address - Fax:617-726-5085
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA87422251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology