Individual
MR. MICHAEL KONSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
807 WILBRAHAM RD, SPRINGFIELD, MA 01109-2067
(413) 782-1800
Mailing address
10 CORDNER RD, BELCHERTOWN, MA 01007-9491
(413) 323-5889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216
MA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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