Individual
CONSTANCE KUMIKO WAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
340 TURNPIKE ST, CANTON, MA 02021-2700
(781) 619-1500
Mailing address
33 PAUL ST APT 22, NEWTON, MA 02459-2472
(217) 369-3873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10692
MA
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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