Individual
MRS. MARY BETH JEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
45 DONEGAL WAY, MANSFIELD, MA 02048-3427
(508) 208-8438
Mailing address
1 BROOKSIDE RD, MANSFIELD, MA 02048-2601
(774) 719-2552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8334
MA
Other
Enumeration date
06/09/2011
Last updated
06/10/2011
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