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Organization
FUNCTIONAL WELLNESS & YOGA
Active
Organization
FUNCTIONAL WELLNESS & YOGA
Active
Other names
Functional Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LISA SOLOMON OTR/L (OCCUPATIONAL THERAPIST)
(857) 529-7089
Entity
Organization
Contact information
Practice address
376 BOYLSTON ST STE 301, BOSTON, MA 02116-3827
(857) 529-7089
Mailing address
16 MORTON AVE, MEDFORD, MA 02155-6408
(857) 529-7989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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