Individual
PATTY WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, MA
Contact information
Practice address
321 FORTUNE BLVD, 2, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
98 ORCHARD ST, 2, LEOMINSTER, MA 01453-3130
(978) 660-3770
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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