Individual
NICOLE CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
143 ARLINGTON ST, LAWRENCE, MA 01841-1603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13370
MA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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