Individual
MISS TAMARA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
105 BAYBERRY CIR, WINCHENDON, MA 01475-2269
(978) 297-7404
Mailing address
105 BAYBERRY CIR, WINCHENDON, MA 01475-2269
(978) 297-7404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2773
MA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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