Individual
SUSAN NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RICHARDS ST, BILLERICA, MA 01821-1310
(781) 626-2771
Mailing address
14 RICHARDS ST, BILLERICA, MA 01821-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9343
MA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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