Individual
MIRAH SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
THOM BOSTON METRO EARLY INTERVENTION, 555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12643
MA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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