Individual
MARIA PERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
225 WATER ST, SUITE C104, BUILDING C, PLYMOUTH, MA 02360-4060
(508) 746-4434
(508) 746-4432
Mailing address
12 SAMUEL FULLER RD, KINGSTON, MA 02364-1872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0020
BLUE SHIELD
MA
Enumeration date
08/04/2006
Last updated
03/29/2011
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