Individual
ALEXANDRIA TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
Mailing address
414 MARKET ST APT 3, BRIGHTON, MA 02135-2748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12160
MA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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