Individual
MAEGEN FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
54 HALLER ST, INDIAN ORCHARD, MA 01151-2202
(413) 813-5198
Mailing address
54 HALLER ST, INDIAN ORCHARD, MA 01151-2202
(413) 813-5198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3801
MA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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