Individual
MISS MYA J BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
102 BROOK ST, QUINCY, MA 02170-1508
(781) 640-0657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15546
MA
Other
Enumeration date
11/23/2020
Last updated
11/26/2024
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