Individual
SIMONE ELIZABETH DESROCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(774) 608-7253
Mailing address
20 RUSSELL TRUFANT RD, CARVER, MA 02330-1030
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTL15379
MA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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