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Organization
AGING IN PLACE MOBILE THERAPY LLC
Active
Organization
AGING IN PLACE MOBILE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALIMATA CISSE OTR/L (MANAGING MEMBER/OWNER)
(774) 226-6713
Entity
Organization
Contact information
Practice address
352 DANA FARMS, FAIRHAVEN, MA 02719-3360
(774) 226-6713
Mailing address
352 DANA FARMS, FAIRHAVEN, MA 02719-3360
(774) 226-6713
(774) 204-4752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
04/06/2022
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