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Individual

MICHAEL EDWARD ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, OTRL

Contact information

Practice address
150 YORK ST, STOUGHTON, MA 02072-1829
(781) 344-0600
Mailing address
14 HAMILTON AVE, DEDHAM, MA 02026-4521
(781) 686-1092

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4231
MA

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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