Individual
MR. MICHAEL PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4 DERRY PARK DR APT 10, MIDDLEBORO, MA 02346-1952
(508) 317-8569
Mailing address
4 DERRY PARK DR APT 10, MIDDLEBORO, MA 02346-1952
(508) 317-8569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2740
MA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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