Individual
MRS. STARR PATRICIA LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
200 IVY STREET, BROOKLINE, MA 02446
(617) 732-0230
Mailing address
60 GLEN DEVIN STREET, AMESBURY, MA 01913
(978) 388-5730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8172
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700975
—
MA
Enumeration date
04/17/2007
Last updated
07/08/2007
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