Organization
ASHLEIGH KIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEIGH HONOR KIDA COTA (OCCUPATIONAL THERAPIST ASSISTANT)
9
Entity
Organization
Contact information
Practice address
75 WHEELER CIR, APT 116, STOUGHTON, MA 02072-1377
9
Mailing address
75 WHEELER CIR, APT 116, STOUGHTON, MA 02072-1377
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2650
MA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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