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Individual

MRS. SHOBHA SANDEEP MENON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
615 HEATH ST, CHESTNUT HILL, MA 02467-2160
(617) 879-2907
Mailing address
1 TOWN HOUSE DR, NEWTON, MA 02460-1914
(617) 953-1607

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8568
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
8568
MA

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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