Organization
MICHAEL DEFOSSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S DEFOSSE (OCCUPATIONAL THERAPIST)
(617) 699-3527
Entity
Organization
Contact information
Practice address
1011 ARLINGTON BLVD APT 1031, SUITE 1031, ARLINGTON, VA 22209-2210
(617) 699-3527
Mailing address
1011 ARLINGTON BLVD APT 1031, SUITE 1031, ARLINGTON, VA 22209-2210
(617) 699-3527
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
8852
MA
283X00000X
Rehabilitation Hospital
8852
MA
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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