Individual
MISS DIANE E. DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 BROAD ST, WEYMOUTH, MA 02188-2336
(781) 337-3121
Mailing address
57 PECKSUOT RD, WEYMOUTH, MA 02191-1611
(781) 337-8682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1298
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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