Individual
KEMBERLY MAURICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
168 W CENTRAL ST, NATICK, MA 01760-4122
(508) 650-2106
Mailing address
168 W CENTRAL ST, NATICK, MA 01760-4122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2115
MA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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