Individual
REBECCA LOUISE IDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
37 CONGRESS ST, WALPOLE, MA 02081-3822
(508) 505-5675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13678
MA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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