Provider Demographics
NPI:1457689655
Name:MERCURIO, MARY (DPT)
Entity Type:Individual
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First Name:MARY
Middle Name:
Last Name:MERCURIO
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:99 LONGWATER CIR
Mailing Address - Street 2:STE 201
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1643
Mailing Address - Country:US
Mailing Address - Phone:617-657-5921
Mailing Address - Fax:781-986-0991
Practice Address - Street 1:75 FINNELL DR
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-1110
Practice Address - Country:US
Practice Address - Phone:781-335-1151
Practice Address - Fax:781-335-7851
Is Sole Proprietor?:No
Enumeration Date:2009-11-27
Last Update Date:2017-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA18678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist