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Individual

MRS. MERCEDES ROSE DESAUTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
85 N WASHINGTON ST, NORTH ATTLEBORO, MA 02760-1634
(508) 699-2740
Mailing address
2 ENGLEWOOD RD, COVENTRY, RI 02816-5218
(401) 474-6819

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00711
RI
224Z00000X
Occupational Therapy Assistant
Primary
3772
MA

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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