Individual
OSMERLYN ELIODORO PEREZ DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 NEWTON ST, WALTHAM, MA 02453-6063
(781) 893-0240
Mailing address
14 ARDALE ST UNIT 1, BOSTON, MA 02131-1506
(347) 207-8680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0897
NH
224Z00000X
Occupational Therapy Assistant
4900
MA
Other
Enumeration date
11/01/2022
Last updated
09/10/2023
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