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Contact Information

MICHELLE J MAILLOUX, PT, DPT
484 MAIN ST STE 600
WORCESTER, MA01608-1881
 Phone: 800-244-2756
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MICHELLE J MAILLOUX · (Female)

NPI Number 1316547201
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 10/29/2020
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 25187
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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