Individual
MIRTA AURORA SANTANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 702-5797
Mailing address
270 BRIDGE ST STE 301, DEDHAM, MA 02026-1883
(781) 329-0909
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/21/2022
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