Individual
CARLA NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 WALNUT ST BLDG 3, WELLESLEY, MA 02481-2108
(781) 239-0100
Mailing address
49 WALNUT ST BLDG 3, WELLESLEY, MA 02481-2108
(781) 239-0100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL15174
MA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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