Individual
MR. JAMIE MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
678 DEPOT ST, NORTH EASTON, MA 02356-2704
(508) 535-2202
Mailing address
1054 SASSAQUIN AVE, NEW BEDFORD, MA 02745-4312
(508) 525-1102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3964
MA
Other
Enumeration date
10/23/2015
Last updated
10/24/2015
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