Individual
MRS. PAMELA PENNEY MOTTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
55 LAKE AVE N, ROOM S3-840, WORCESTER, MA 01655-0002
(508) 334-7177
(508) 334-3819
Mailing address
55 LAKE AVE N, ROOM S3-840, WORCESTER, MA 01655-0002
(508) 334-7177
(508) 334-3819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
557
MA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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