Individual
MS. ASHLEY BOVARNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 MURRAY ST, MEDFORD, MA 02155-1300
(781) 391-0800
Mailing address
7 TAYLOR ST, MEDFORD, MA 02155
(781) 854-2357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3558
MA
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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