Organization
COBBLESTONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE CROAK (OCCUPATIONAL THERAPIST)
(781) 609-2514
Entity
Organization
Contact information
Practice address
85 RIVER ST, WALTHAM, MA 02453-8300
(781) 609-2514
Mailing address
85 RIVER ST, WALTHAM, MA 02453-8300
(781) 609-2514
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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