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Individual

STEPHANY DEPINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
125 BROAD ST, WEYMOUTH, MA 02188-2336
(781) 337-3121
Mailing address
298 CARL AVE, BROCKTON, MA 02302-4339

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4076
MA

Other

Enumeration date
09/20/2016
Last updated
09/20/2016
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