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Individual
EMILY GAMMELL
Active
Individual
EMILY GAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
12432
MA
225X00000X
Occupational Therapist
12432
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12432
STATE LICENSURE
MA
Enumeration date
07/21/2020
Last updated
04/05/2021
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