Individual
KATELYN SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
96 PECKHAM RD, ACUSHNET, MA 02743-1713
(774) 328-2052
Mailing address
96 PECKHAM RD, ACUSHNET, MA 02743-1713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13967
MA
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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