Individual
SONJA GITHMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 PLANTATION ST, WORCESTER, MA 01604-1637
(508) 770-0089
Mailing address
338 PLANTATION ST, WORCESTER, MA 01604-1637
(508) 770-0089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4182
MA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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