Individual
MRS. PAMELA ANDERSON WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
400 GROTON RD, AYER, MA 01432-1171
(978) 784-3536
Mailing address
492 WESTMINSTER HILL RD, FITCHBURG, MA 01420-2948
(978) 345-0278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1876
NH
225X00000X
Occupational Therapist
Primary
5999
MA
225X00000X
Occupational Therapist
OT1996
ME
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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