Individual
VICTORIA GIACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
431 RIVER ST, WALTHAM, MA 02453-5476
(860) 919-7354
(978) 829-2210
Mailing address
431 RIVER ST, WALTHAM, MA 02453-5476
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OTL15192
MA
Other
Enumeration date
05/03/2023
Last updated
01/30/2024
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