Individual
MRS. LISA BOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 RIDDELL ST, GREENFIELD, MA 01301-2025
(413) 772-0853
Mailing address
95 GREEN RIVER RD, GREENFIELD, MA 01301-9707
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6942
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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