Individual
JENNIE LACOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 CROSBY DR STE 140, BEDFORD, MA 01730-1401
(781) 245-4446
Mailing address
1 HARRISON ST, STONEHAM, MA 02180-4351
(781) 307-8117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13757
MA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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