Individual
MARIA TSVETKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
270 GREEN ST, ELDER SERVICE PROGRAM, CAMBRIDGE, MA 02139-3312
(617) 575-5842
Mailing address
270 GREEN ST, ELDER SERVICE PROGRAM, CAMBRIDGE, MA 02139-3312
(617) 575-5842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10425
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
—
283177
NBCOT (NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY)
—
Enumeration date
12/01/2011
Last updated
12/01/2011
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