Provider Demographics
NPI:1336366988
Name:PERRUZZI, PRISCILLA ELIZABETH (RRT)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:ELIZABETH
Last Name:PERRUZZI
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
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Mailing Address - Street 1:57 ASTER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188
Mailing Address - Country:US
Mailing Address - Phone:781-340-1740
Mailing Address - Fax:
Practice Address - Street 1:1153 CENTRE STREET MAILBOX 103
Practice Address - Street 2:BWH PULMONARY REHAB
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:617-983-7549
Practice Address - Fax:617-983-4520
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2262225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner