Provider Demographics
NPI:1285409649
Name:CECCHINI, ALICIA (PT)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:CECCHINI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1110
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-1810
Mailing Address - Country:US
Mailing Address - Phone:774-614-1322
Mailing Address - Fax:774-614-1171
Practice Address - Street 1:81 SHREWSBURY ST STE 1
Practice Address - Street 2:
Practice Address - City:BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01505-1701
Practice Address - Country:US
Practice Address - Phone:774-614-1322
Practice Address - Fax:774-614-1171
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL27280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist