Individual
TANIA MENDEZ-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
Mailing address
1657 KING ST APT 3, ENFIELD, CT 06082-6060
(413) 530-6697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13964
MA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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