Individual
SHARON E PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
5 CLAREMONT RD, SALEM, MA 01970-2412
(978) 968-9158
Mailing address
5 CLAREMONT RD, SALEM, MA 01970-2412
(978) 968-9158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3447
MA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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