Individual
MS. DOREEN JEFFERS CORNACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
497 MAIN ST., SUITE E, GROTON, MA 01450-1298
(978) 448-4001
Mailing address
497 MAIN ST., SUITE E, GROTON, MA 01450-1298
(978) 448-4001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4594
MA
Other
Enumeration date
05/08/2008
Last updated
12/17/2009
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