Individual
MISS MELISSA NICOLE POTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 MURRAY ST, MEDFORD, MA 02155-1300
(781) 931-0800
Mailing address
14 CLARK ST, SALEM, MA 01970-1736
(978) 210-2597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4438
MA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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