Individual
MISS LOUISA LOWELL ROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19 WOODSIDE RD, HARVARD, MA 01451-1616
(978) 456-3941
Mailing address
19 WOODSIDE RD, HARVARD, MA 01451-1616
(978) 456-3941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
48
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388904
—
MA
Enumeration date
06/05/2008
Last updated
06/05/2008
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