Individual
JACQUELINE A TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2 SEAPORT DR, QUINCY, MA 02171-1599
(617) 769-5100
Mailing address
2 SEAPORT DR, QUINCY, MA 02171-1599
(617) 769-5100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3025
MA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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