Individual
NINA TALAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
124 WATERTOWN ST, WATERTOWN, MA 02472-2576
(617) 923-4410
(617) 923-0468
Mailing address
30 MILAND AVE, CHELMSFORD, MA 01824-2249
(978) 251-4345
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9216
MA
Other
Enumeration date
02/03/2007
Last updated
01/13/2009
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