Individual
ANDREA ANN LELIEVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
41 BEAVER ST, WALTHAM, MA 02453-7005
(617) 383-6624
Mailing address
41 BEAVER ST, WALTHAM, MA 02453-7005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3019
MA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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