Individual
BRENDA ANN SYLVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
101 LUKE ST, NEW BEDFORD, MA 02740-1329
(508) 264-1408
Mailing address
101 LUKE ST, NEW BEDFORD, MA 02740-1329
(508) 264-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4133
MA
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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