Individual
BEVERLY IWANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCASOTR/L
Contact information
Practice address
6 CRANE ST, DANVERS, MA 01923-3014
(197) 877-7853
Mailing address
6 CRANE ST, DANVERS, MA 01923-3014
(197) 877-7853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5205
MA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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