Individual
SAMIRAH ANTENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LIBERTY SQUARE PMB#563, BOSTON, MA 02109
(888) 572-7473
Mailing address
6 LIBERTY SQUARE PMB#563, BOSTON, MA 02109
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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