Individual
ELIZABETH (LIBBY) DEAMICIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225X00000X
Occupational Therapist
Primary
OTL11196
MA
Other
Enumeration date
01/06/2014
Last updated
08/29/2024
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