Individual
MR. SHANE MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
24 TREMONT ST, BRIGHTON, MA 02135-2407
(908) 565-3281
Mailing address
15 BELMONT AVE, HAVERHILL, MA 01830-6601
(978) 314-9328
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13531
MA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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