Individual
TRACEY MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1114 MAIN ST, WALTHAM, MA 02451-7430
(617) 217-8132
Mailing address
93 CIRCLE DR, WALTHAM, MA 02452-5747
(617) 217-8132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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