Individual
ERIC FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
61 OLD AMHERST RD, SUNDERLAND, MA 01375-7501
(413) 665-2740
Mailing address
39 TURNPIKE RD, ASHFORD, CT 06278-2408
(678) 938-8369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4340
MA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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