Individual
MARIE N EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300, BIRNIE AVENUE, SPRINGFIELD, MA 01107
(617) 872-1247
Mailing address
30 TERRACE LN, SPRINGFIELD, MA 01118-1333
(617) 872-1247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4033
MA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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