Individual
MS. ABIGAIL JENNIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT OTR/L
Contact information
Practice address
18 CHESTNUT ST, WORCESTER, MA 01608-1528
(800) 244-2756
(508) 831-9768
Mailing address
6 LIGHTHOUSE LN, FORESTDALE, MA 02644-1826
(508) 524-0952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14634
STATE LICENSE NUMBER
MA
Enumeration date
09/22/2022
Last updated
09/22/2022
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