Individual
BARBARA LYNN SOUTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3 PARK DR, WESTFORD, MA 01886-3511
(978) 392-1144
Mailing address
691 GUELPHWOOD RD, SOUTHBRIDGE, MA 01550-2003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2996
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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