Organization
CSEMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA CANNIZZARO SMITH OTRL (OCCUPATIONAL THERAPIST III)
(617) 789-3258
Entity
Organization
Contact information
Practice address
736 CAMBRIDGE STREET, BRIGHTON, MA 02135
(617) 789-3258
Mailing address
15 CEDARWOOD AVE, WALTHAM, MA 02453-7601
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6209
MA
Other
Enumeration date
05/17/2007
Last updated
06/24/2008
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