Individual
MRS. ANDREA H DYNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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