Individual
JUDITH ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
265 MAIN ST, DALTON, MA 01226-1614
(413) 684-3212
Mailing address
265 MAIN ST, DALTON, MA 01226-1614
(413) 684-3212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2708
MA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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