Individual
JULIAN CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 PLEASANT ST APT 4R, HOLYOKE, MA 01040-2366
(781) 724-4546
Mailing address
577 PLEASANT ST APT 4R, HOLYOKE, MA 01040-2366
(781) 724-4546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AH 11028-OT
MA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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