Individual
MRS. COLLEEN MCDONOUGH HAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1140 DORCHESTER AVE, DORCHESTER, MA 02125-3305
(617) 288-0970
(617) 474-0757
Mailing address
36 SARGENT AVE, SOMERVILLE, MA 02145-2914
(617) 628-0893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1428
MA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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