Individual
MESHACK H MTANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
18 COTTAGE PL, LEOMINSTER, MA 01453-3525
(978) 394-5506
Mailing address
18 COTTAGE PL, LEOMINSTER, MA 01453-3525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13153
MA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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