Individual
SARA TIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
122 DEXTER ST, MALDEN, MA 02148-2444
(617) 733-4090
Mailing address
122 DEXTER ST, MALDEN, MA 02148-2444
(617) 733-4090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11996
MA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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