Individual
AFIA AYIWA-MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
58 SAVOY AVE, SPRINGFIELD, MA 01104-2008
(413) 777-1468
Mailing address
58 SAVOY AVE, SPRINGFIELD, MA 01104-2008
(413) 777-1468
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
12112
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12112
ALLIED HEALTH PROFESSIONALS
MA
Enumeration date
10/11/2016
Last updated
10/11/2016
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