Individual
CAROLINE PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1191 MAIN ST APT 3, WALTHAM, MA 02451-1753
(508) 596-5140
Mailing address
1191 MAIN ST APT 3, WALTHAM, MA 02451-1753
(508) 596-5140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10730
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10730
MA BOARD OF ALLIED HEALTH PROFESSIONALS
MA
Enumeration date
05/24/2016
Last updated
05/24/2016
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