Provider Demographics
NPI:1144904541
Name:DIORIO, ARIANNA (MS, LAT, ATC, PES)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:DIORIO
Suffix:
Gender:F
Credentials:MS, LAT, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 REVERE BEACH BLVD APT 8
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-3666
Mailing Address - Country:US
Mailing Address - Phone:617-593-3621
Mailing Address - Fax:
Practice Address - Street 1:900 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-3708
Practice Address - Country:US
Practice Address - Phone:508-350-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA519362083S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine