Organization
IRONSTONE FARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAINA MARIE PILZ COTA/L (CERTIFIED OCCUPATIONAL THERAPY ASST)
(978) 423-5181
Entity
Organization
Contact information
Practice address
450 LOWELL ST, ANDOVER, MA 01810-5305
(978) 475-4056
Mailing address
7 ELLIS ST, METHUEN, MA 01844-6017
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
3535
MA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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